Pay Later

Pay Later

You're all set for our Pay Later process! Just let us know when you're ready, and we'll send the invoice over set increments. Onve the form is submitted, keep an eye out for a text or email with your scheduling link. Thanks!
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Instagram *
Financial Comfort
How do you plan to pay for your installments?*
How often do you get paid?*
What day of the week is best for us to collect your payment?*
Do you understand even though you get service now you are required to finish all payments?*

Yes
Do you understand if a payment is late a $10 late fee is added?*

Yes
Do you understand if a payment is late more than 2-days your subscription will be terminated?*

Yes
Payment Term
Membership Options and More (Purchase):*
Start Date for your First Term Payment:*

MonthDayYear
Date
I would like to make my payments over a time period of (weeks):*
I would like to make equal numbers installments of:*
Authorization Signature: I, hereby authorize the charges to my debit or credit card as outlined in this document. I understand there are no refunds and agree to the terms of payment specified, and I confirm that I have the authority to authorize these charges.*

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Application Fee*
prevnext( X )
Fee
$20.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Financial Comfort