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*When starting a Pay Automatically payment schedule, please select the payment plan above.

If you are paying for the Entire Year, please enter $1,188 in the Payment Amount field below with no Pay Automatically schedule selected.


**If you are only storing your card today, please enter $0.01 in the amount field. Your account with us will receive a $0.01 credit for the charge.

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*If you elect to Save your Card for a Future Payment, you are acknowledging your consent and authorization for DrBoxerAtHome to process a future transaction on your behalf for monthly membership and/or fee-for-service charges, congruent with our Terms & Conditions.

**Your credit card information is not kept on file in this office. It is kept securely offsite and this office does not have access to the full credit card number once it is entered into this payment form.

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