[insert_php]

$package = $_REQUEST[‘3s_package’];

if($package==”SILVER”)
{
echo “SILVER – Service Agreement”;
$monthlyfee = 1000;
}
else if($package==”GOLD”)
{
echo “GOLD – Service Agreement”;
$monthlyfee = 1300;
}
else if($package==”PLATINUM”)
{
echo “PLATINUM – Service Agreement”;
$monthlyfee = 1700;
}
else
{
echo “3S Service Agreement”;
$monthlyfee = 1000;
}
[/insert_php]

United-kingdom-icon-fade2

[insert_php]
ini_set(‘display_errors’,0);
$activepromocode = $_REQUEST[‘promocode’];

[/insert_php]

Select Package:

PROMO code:

[insert_php]
$setupfee = 0;
$hst = 1;
$hstamount = 0;
$firstmonthfee = 0;
$followingmonth = 0;
$promoapplied = “”;

if($_REQUEST[‘promocode’]==”nosetup”)
{
$setupfee = 0;
$promoapplied = ” (Promo Applied!)”;
}
else if($_REQUEST[‘promocode’]!=”nosetup”)
{
$setupfee = 249;
}

$package = $_REQUEST[‘3s_package’];

if($package == “”)
{
$package = “SILVER”;
}

$firstmonthfee = ($monthlyfee + $setupfee) * $hst;
$followingmonth = $monthlyfee * $hst;

[/insert_php]

Please review the following details of your service agreement with 3S Systems:

Package:  [insert_php]echo $package; [/insert_php]
Setup Fee: $[insert_php]echo $setupfee; [/insert_php] [insert_php] echo $promoapplied;[/insert_php]
Monthly Fee: $[insert_php]echo $monthlyfee; [/insert_php]
First Payment: $[insert_php]echo $firstmonthfee;[/insert_php]
Following Monthly Payments: $[insert_php]echo $followingmonth;[/insert_php]

MEMBERSHIP AND CANCELLATION: Your membership with 3S-CS is secured upon receipt of your payment and completed agreement.

PAYMENTS: Monthly payments will be processed automatically on the 1st of each month with exception to the first month which the payment will be place on or prior to the Agreement start date indicated above.

TERM OF AGREEMENT: The term of this Agreement shall commence between the Client and 3S Chiropractic Systems (“3S”) on the signing date of this Agreement. This is a month to month agreement and will automatically renew monthly unless terminated by either party. Client can discontinue services with 30 days written notice. 3S does not guarantee success with any of the services it offers or guarantee a minimum monthly number of new patients or leads/prospective patients. 3S is not responsible for lack of practice growth.

TERMINATION OF AGREEMENT: Termination requests must be submitted to 3S at billing@3schirpracticsystems.com and must be received in writing with 30 days’ notice from the following months payment date.

LEGAL PARAMETERS: Client agrees that 3S does not provide legal services, advice or counsel. Some advice, advertising and materials provided by 3S may have legal implications. Client agrees to seek independent legal counsel before implementing said advice, advertising and materials. Client agrees to hold 3S harmless from any legal action taken by others against the Client for any Client implementation that caused in whole or in part said legal action. Client assumes all liability and responsibility for Client compliance to any State/Provincial or Federal law, rule or their interpretation thereof by the governing authority.

INTELLECTUAL PROPERTY: Client acknowledges that all of 3S’ personal and intellectual property related to the Silver/Gold/Platinum services or other services, programs, logos, marks, books, products, concepts and publications produced by 3S for any other purpose whatsoever, including, but not limited to, 3S’ trade name, trademarks, service marks, and software programs and the trade names, trademarks, service marks, and software programs of 3S’ affiliates or subsidiaries (“Materials”), is and always shall be the personal property of 3S. Accordingly, Client shall have no rights to use the Materials at any time during the term of this Agreement. During the term of this Agreement, and after termination of this Agreement, under no circumstances shall Client, or any person acting on behalf of Client, directly or indirectly hold itself out to the public as being or remaining affiliated with 3S.

GOVERNING LAWS: This Agreement shall be governed by and construed in accordance with the laws of the Province of Ontario and venue shall be exclusively in the applicable court in Ontario, Canada. In the event of any lawsuit or other proceeding to enforce the provisions of this Agreement, the prevailing party shall be entitled to an award of its costs and reasonable attorney fees incurred at all levels of proceedings.

AGREEMENT: This Agreement, including its attachments, supersedes any and all agreements, either oral or written, between the parties and contains all the covenants and conditions between the parties. No modification of this Agreement shall be effective unless it is in writing and signed by both parties. In witness whereof, the undersigned have executed this Agreement on the date first written.


Enter your payment information here:

Name on Card Card Type Card Number Exp. Date CVC
 
Confirm Contact Information:

Doctor Name (required)

Doctor Email (required)

I have reviewed and accept the agreement.
I agree to commit to the system 100%; with integrity
I understand that all related materials associated with 3S Systems are for my personal use only and are not to be shared

NOTE: Be sure to check your junk mail for your confirmation if you don't receive it within an hour.

 

© 2019: 3S Systems Inc.

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