Member Registration Form

Welcome to Louis' Eastern Health Club! At Louis' Eastern Health, we really do care about you and your health. We want to get to know you better, listen to your concerns and see you happy and healthy again. With your membership, you join the LEH family.

As a member of our club, you will receive regular discounts and special offers on medical consultations, massage, acupuncture as well as for our diverse range of natural health products! And the best part of your membership…it's totally free!

By being a valued Louis' Eastern Health Club Member, you enjoy the following wonderful benefits:
  • Receive one Massage FREE! When you have ten massages, all within a maximum ten month period (i.e. on average one massage per month), you will receive one free massage! This free massage will be valued at the average price of the ten paid massages and must be taken within three months of receiving your ‘One Free Massage Voucher'.

  • Birthday Gift Voucher Every year on your birthday, receive a surprise birthday gift voucher from us! It will entitle you to a special gift that you are sure to enjoy!

  • Regular LEH Newsletters We will personally keep you informed of special events, guest speakers, product launches, discounts and special offers at LEH through our regular newsletter delivered straight to your door.

Please fill in the form below to apply for VIP Member Card.

Title DOB
First Name* Last Name*
Address*
Suburb* Postcode*
Occupation* Mobile No.
Work No. Home No.
E-mail*
Referred by*

Service done today (please tick):
Massage    Hair Care    Medical Consultation    Health Products   
Others   

The preferred way to contact me is (please tick):
Email    Mobile    Home Phone    Letter   

Signature Date
Print name