If you wish to pay by check* instead of using a credit card, please print and fill out this form. Make check payable to: Hearing Healthcare Alliance of Ohio.
Mail to:**
Joe Rosengarten
Hearing Healthcare Alliance of Ohio
8141 North Main, Suite A
Dayton, OH 45415
* There is a $30.00 returned check charge
** Checks required IN-HAND no later than March 8, 2023