SERVICE AGREEMENT TYPE *
I AM REQUESTING THE FOLLOWING SERVICES *
Name *
Name
Estimated Due Date *
Estimated Due Date
Phone *
Phone
Partner's Name *
Partner's Name
Partner Phone *
Partner Phone
CLIENT RESPONSIBILITY *
Checking each box confirms that you have read your responsibilities and agree to the terms of this contract.
The balance of the total fee is expected to be paid in full by the delivery of the finished product. In signing this contract, you agree that you have read and understand the Service Descriptions and Agreement for Sacred Birth Services Placenta Encapsulation Service and that you agree to the terms and conditions outlined therein, as well as the stated fee. (Please make checks payable to: Jessica Stackowicz)