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Month-to-Month Billing
If you don't have the right insurance or a major credit card to make payment, we are still willing to treat you and bill you on a month-to-month basis. There is only one requirement for this service: You must have a verifiable job that you have worked at for at least six months.

Payment

     

To make payment easier and affordable for you,
we accept all the major credits cards, cash,
and company or personal checks.

We also acceptt PayPal and e-Checks,
along with interest-free month-to-month billing,
paying as lows as 2% of your total bill per month.

 

For your convenience and faster processing
you may use the form below to make payments.
Your payment is processed on a secure server
and we guarantee optimum privacy and proper us
of your credit card and personal information.

Payment Amount; $ 
PAYMENT INFORMATION
All fields with * must be provided. Enter credit card number without dashes.
Credit Card Number:
Type of Credit Card:
Expiration Date:
Month:   Year: 

BILLING INFORMATION
All fields with * must be provided.
Last Name:
First Name:
Middle Initial:
Address 1:
Address 2:
City:
State:
Zip:
Email Address:
Phone Number:

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