Personal Information

Monthly 16th Payment

$10.55

$42.35

Service	Down Payment	Recurring	Rollover	Visits
Member 1
Enrollment Fee	$39.95	$0.00	$0.00	0
Recurring Dues	$0.00	$9.95	$9.95	0
Sub-Total	$39.95	$9.95
Tax	$2.40	$0.60
Total	$42.35	$10.55

Payments will then be processed on a Monthly 16th basis there after.

Annual Facility Improvement Fee (Total) of $39.95 will be billed on a Yearly basis starting 2/1/2025