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Service Fee Payment Form
Full Name of Service User
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Practice Name
Email Address (to send the payment receipt to):
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Disclaimer and Consent
All payments of Paperless Admin Service Fees will show as CHANGES PSYCHOLOGY on your account statements as this is the parent company. All Paperless Admin services and your use of this website are subject to the Service Agreement you signed to commence your service, our
Privacy Policy
and
Terms and Conditions.
To agree to these policies SIGN IN THIS BOX with your finger (on mobile device) or use your mouse
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$640 will be deducted from your card immediately to pay your Paperless Admin Service fees and card details will be stored with NAB for future billing of service fees (AMEX 4.8 percent surcharge)
*
Price:
Press Submit and Proceed to the NAB Payment Page to finalise payment
$ 0.00
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