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Pay for WebView On-Line
From this page, you can pay for your WebView
enrollment. When you
click on one of the payment buttons below, you will be taken to a
secure credit card payment site where you will enter your credit card
information.
In the first section you will enter your credit card
number, expiration date, and your credit card security number. This
section will also contain the amount you will be billed and the type of
WebView enrollment.
In the second section you will enter the billing
information for your
credit card: the name as it appears on the card, address and phone
number.
In the third section you will enter your first and
last name, birth
date and email address. This information will be used to identify you
as an established patient and allow us to contact you by email. If you
are paying to enroll your entire family, enter only your name and email, we will obtain your family members' information later.
If you wish to enroll just yourself, and pay
$75 for one year,
click
on the button below.
If you wish to enroll yourself and your family and pay $125 for
one
year, click on the button below.
Kachina Family Practice does not store your
credit card information,
and will not share or sell your personal information.
Web site and all contents Copyright Kachina Family Practice, P.A., 16611 S 40th Street, Suite 120, Phoenix, Arizona 85048 All rights reserved.
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