Wellbox Indy Order Form

WELLNESS IN A BOX – INDIVIDUAL AGREEMENT AND ORDER FORM

I hereby purchase the You Define Wellness (YDW) WELLNESS IN A BOX – Individual (WellBox-Indy).  The WellBox-Indy plan consists of:

  • 1x MONTH: Online group Healthy Living Workshop;
  • One Healthy Living Savings Card.

I understand this program will remain in effect for one year from the program start date and will automatically continue at the stated annual renewal price of $120.  I understand I will be invoiced for the renewal and, if unpaid, this agreement will terminate.

I understand a request for termination mid-year must be in writing.  YDW will calculate and return a portion of the unused fee paid at inception.

By completing the application below and submitting payment, I acknowledge that the YDW program has been explained in full, that YDW is not an insurance program nor is it a replacement for traditional medical insurance, and I fully accept and subscribe to all the terms and conditions contained in this Agreement.

Wellness in a Box Indy

  • Price: $159.60 Quantity:
    This product can be purchased for the workplace, or buy several as gifts!
  • $0.00
Wellbox Indy Order Form April 30, 2020

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