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Monthly Wellness Plan Subscription Form
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Monthly Wellness Plan Subscription Form
Monthly Wellness Plan Subscription Form
Personal Information
Subscription Details
I would like to subscribe to the Monthly Wellness Plan (KES 2,400)
Preferred Mode of Sessions:
In-App
Chat
Video Call
Mixed
Payment Options
Mobile Money (M-Pesa / Airtel Money)
Bank Transfer
Corporate Account (if employer-sponsored)
Instructions will be shared upon form submission.
Consent & Agreement
I agree to the
terms of service
and
privacy policy
of Akili Sawa.
I understand that this is a monthly recurring subscription at KES 2,400, unless cancelled. Find our banking details
here.
Personal Information
Subscription Details
I would like to subscribe to the Annual Therapy Plan (KES 11,200)
Preferred Mode of Sessions:
In-App
Chat
Video Call
Mixed
Payment Options
Mobile Money (M-Pesa / Airtel Money)
Bank Transfer
Corporate Account (if employer-sponsored)
Instructions will be shared upon form submission.
Consent & Agreement
I agree to the
terms of service
and
privacy policy
of Akili Sawa.
I understand this is an annual subscription at KES 11,200, renewable every 12 months unless cancelled. Find our banking details
here.
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