PLEASE READ BEFORE CONTINUING: On the form below, we will ask you for the information we need to set your Practice up as a Merchant in our system. After you have submitted this form and we verify your first payment has been made, we will send you a welcome email with a link to our lender page on this site. Please follow the link to get that process started with the lenders as soon as possible.
Please note: As a part of your enrollment, you must make your first payment immediately using the "pay now" link shown here. However, we will not process your next payment for a period of 45 days to give you time to get set up with the lenders and then to use the service to make sure you are happy with it. Thank you!
Please use the "Pay Now" button below to make your first payment of $575. This non-refundable fee is charged upfront to offset the cost we incur in getting your account set up. However, you will have 45 days to cancel your enrollment and not incur any future charges
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