Please follow our simple 5-step process:
Steps number 2 - 5 are print, read, sign and fax, and must be remitted via fax.The family application will be automatically sent via email to our office.
Steps number 2 - 5 are print, read, sign and fax, and must be remitted via fax.The family application will be automatically sent via email to our office.
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Complete our Application (so we can determine your needs). |
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Print and sign our Hold Harmless Agreement. |
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Print and sign our Contract of Confidentiality. |
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Print and sign our Credit Card Transaction for Open Balance agreement. |
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Print and sign our Collection of Fees (Employee Portion) agreement. |
Steps 2 thru 5 must be printed, signed and faxed to: 305-233-1954
