←

Jewelry change

Let us do this part
Today's Date:
Thu Sep 19 2024 01:55
Practitioner:*
PLEASE PROVIDE THE SHOP OR ARTIST WITH YOUR ID

Please read and answer
Understanding the Risks involved*
I acknowledge that I have been given adequate opportunity to read and understand this document, that it was not presented to me at the last minute, and I understand that I am signing a legal contract
$25.00 SERVICE FEE*
THERE IS A $25.00 SERVICE FEE for (ANY) Jewelry change.

This does not include jewelry Price.
If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.
Client Information
I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement or, if not, that my parent or legal guardian shall sign on my behalf, and that my parent or legal guardian is in complete understanding and concurrence with this agreement.
Name:*
Address:
Postcode:
Date of birth:*
If you are under 16 your parent/guardian will be required
Phone #:
Email:*
Signature:*