Onsite Consultation Payment

We’re sorry for the inconvenience. You’ve already requested an onsite consultation and provided your payment details—but our payment processor wasn’t connected to the form, and your credit card wasn’t charged anything. Because our website doesn’t store credit card information, we need you to fill out and submit the payment again. We will need to receive payment prior to your scheduled consultation. Thank you for your understanding.

Onsite Consultation Payment Form

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Billing Address*
Credit Card*
Discover
MasterCard
Visa
Supported Credit Cards: Discover, MasterCard, Visa
Expiration Date
 
This field is for validation purposes and should be left unchanged.