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PALAQUIN PERKS MEMBERSHIP ELECTRONIC AGREEMENT

By electronically submitting this form, you agree to the terms and conditions said forth. Any questions or concerns should be addressed directly via email to info@palaquin.com or by telephone at (503) 224-6800. Upon completion of this form, a confirmation email will be sent to you within 24-48 hours notifying you of any additional information required, as well as providing you with a PDF copy of this form for your records.)

Submission of this electronic agreement does not immediately enroll you into the Palaquin Perks Membership Program. Additional information may be required to verify your identity, including providing us with a copy of your valid driver’s license and the credit card you choose to use for your monthly auto-bill.)

Please read the information provided below carefully and feel free to contact us with any questions.)

Personal Details

Select a Perks Program
Are you an existing client?

Payment Details

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Preferred Auto-Billing Date
I agree to the terms and conditions
 TO JOIN PERKS!

(503) 224-6800

Whether you are stuck behind a desk for hours each week, or training for a marathon, everyone benefits from bodywork.  Massage is a very powerful and effective way to treat current tension and help prevent further tension from arising, whether it be physical, mental, emotional, or energetic.  The greatest benefits of are felt when received regularly, and for this reason we created the Palaquin Membership Program with two different options:

  • 60 minute membership: $65/month (1 year term)
  • 90 minute membership: $85/month (1 year term)

Signing up for the membership entitles you to these benefits:

  • Convenient auto-billing
  • 1 massage per month
  • Optional additional monthly massage at $10 off the membership price (any additional massages get an additional $10 off)
  • Validated Parking (if needed) for every appointment (2 hours at SmartPark parking garages)
  • Gift Certificates for friends and family at the membership price (and earn free massages for every 3 people you send our way!)
  • discounts on Eastern Bodywork and add-on services

Enroll Now

PALAQUIN PERKS MEMBERSHIP ELECTRONIC AGREEMENT

By electronically submitting this form, you agree to the terms and conditions said forth. Any questions or concerns should be addressed directly via email to info@palaquin.com or by telephone at (503) 224-6800. Upon completion of this form, a confirmation email will be sent to you within 24-48 hours notifying you of any additional information required, as well as providing you with a PDF copy of this form for your records.)

Submission of this electronic agreement does not immediately enroll you into the Palaquin Perks Membership Program. Additional information may be required to verify your identity, including providing us with a copy of your valid driver’s license and the credit card you choose to use for your monthly auto-bill.)

Please read the information provided below carefully and feel free to contact us with any questions.)

Personal Details

Select a Perks Program
Are you an existing client?

Payment Details

Card Type
Preferred Auto-Billing Date
I agree to the terms and conditions