This will only enter your credit card into our system. We are using Stripe.com for all payments. We accept Mastercard, Visa, Discover, Amex. It is a totally secure service. Entering your card here will not perform any charges.
Let us know what kind of recurring payment plan you want to be put on, if you haven't already. Or if you don't, and just want us to charge your card per each visit you make. We are flexible. And if you want to stop a recurring payment at any time, just let us know. You can contact us at email@example.com.
Name on Card: