Pay by Credit Card

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One Time Payments

I authorize New Life Wellness to charge my credit card for the services/products provided and or for any open balances due on my account. This is a one-time charge authorization.

Recurring Billing

I authorize New Life Wellness Center to charge my credit card for the services/products provided and or for any open balances due on my account. This is a periodic/blanket charge authorization for any and all services/products/open balances on my account and I authorize New Life Wellness Center to keep my credit card on file for any and all future charges until such time as I cancel this authorization in writing.

Authorization

I hereby authorize New Life Wellness Center to charge the indicated credit card. I agree that this is either a one time or periodic charge that will be made as indicated above. To terminate the recurring billing process, if selected, I must do so in writing/email. I will not dispute New Life Wellness Center’s recurring billing with my credit card issuer so long as the amount in question was for service rendered, products ordered and or open balances. I agree that I will not dispute any charges from New Life Wellness Center unless I have already attempted to rectify the situation directly with New Life Wellness Center and those attempts have failed. I authorize New Life Wellness Center and their sponsoring agency to run an address verification search. This verification process is a security measure to protect me, the client, from illegal fraud against my credit card. I guarantee and warrant that I am the legal cardholder for this credit card, and that I am legally authorized to enter into this one time or recurring billing agreement with New Life Wellness Center.