<Your Business Name Here>

<Your Business Address Here>

Name: / Home phone:
Address: / Work phone:
Driver’s License:

This contractual agreement (“Agreement”) is made on this date ______by and between <Your Business Name> hereinafter referred to as <xxx> and ______hereinafter referred to as Client. <Your Business Name> agrees to provide to Client services according to the terms and conditions set forth below:

MEMBERSHIP

Client agrees to pay for the following membership:

<example: 6 Month Matchmaking session: $5500, 10 guaranteed dates, 6 months of hold time

<Your business Name> introduces clients based on the judgment of the principal and may take into account the general criteria and guidelines specified by its clients. Client shall be solely responsible for his/her interaction with anyone that <Your business Name> introduces him or her to. <xxx> makes no guarantees or warranties with respect to these introductions. Client has no legal recourse against <xxx> and/or <xxx> 's representatives regarding these personal interactions. <xxx> does not require our clients to submit to background checks. We encourage clients to do whatever investigation they feel is appropriate on anyone they date regardless of how they meet, and to always use common sense.

Client Representations

Client guarantees all information supplied to <xxx> to be true. If any information is found to be false, Client's membership may be terminated by <xxx> without any refund. <xxx> does not guarantee the accuracy of the information concerning its members, as this information is accepted by <xxx> as supplied by members. Client guarantees at this time that he/she does not work or consult for another matchmaking/dating/introduction company.

Death or Disability

If by reason of death or disability Client is unable to receive all services for which he/she has contracted, Client and his/her estate may elect to be relieved of the obligation to make payments for services other than those received before death or the onset of disability, except as provided in paragraph (3) below:

1.  If Client has prepaid any amount of services, so much of the amount prepaid that is allocable to services that Client has not received shall be promptly refunded to Client or Client’s representative.

2.  “Disability” means a condition which precludes Client from physically using the services specified in the contract during the term of disability and the condition is verified in writing by a physician designated and remunerated by Client. The written verification of the physician shall be presented to <xxx>.

3.  If the physician determines that the duration of the disability will be less than six months, <xxx> may extend the term of the contract for a period of six months at no additional charge to Client in lieu of cancellation.

Arbitration

Any dispute of any nature relating to this Agreement or any breach thereof shall be settled exclusively and finally by binding arbitration conducted in accordance with the Commercial Arbitration Rules of the American Arbitration Association before a sole arbitrator. The arbitration shall proceed on an individual basis only and shall be held in <City, State>. Any fee for the arbitrator shall be paid by the non-prevailing party. Judgment upon the arbitrator’s award may be entered in any court having jurisdiction thereof.

Miscellaneous

Client may not assign or transfer this Agreement.

This Agreement is the sole and entire agreement between Client and <xxx> , and no other agreements, oral or written, by any party shall in any way affect this Agreement. This Agreement is governed in accordance with the laws of the State of California. This Agreement may not be terminated except in accordance with the terms hereof and any claim or dispute shall be on an individual basis only. Refunds are made by <xxx> only as provided hereunder or if <xxx> breaches its obligations hereunder and under no circumstances shall <xxx> be liable for any punitive or consequential damages relating to this Agreement or the performance thereof.

Any provision which a court of law shall determine to be void or invalid shall not affect any other provisions, and all other provisions will continue in full force without any invalidation.

<xxx> may terminate this Agreement if Client defaults on any payment or breaches any of its terms. In such event, any and all payments will be non-refundable. <xxx> retains the right to refuse to renew this Agreement for any reason.

You, the Client, may cancel this Agreement, without any penalty or obligation, at any time prior to midnight of the third day following the date of this Agreement, excluding Sundays and holidays. To cancel this Agreement, mail or deliver a signed and dated notice, or send a telegram which states that you, the Client, are canceling this Agreement, or words of similar effect. This notice shall be sent to <Your Business Name>, <Your Business Address.

PAID______on ______

______

Client’s Signature Date <xxx> Representative’s Signature Date