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Step 3: Payment Information

[/fusion_title][fusion_text columns=”” column_min_width=”” column_spacing=”” rule_style=”default” rule_size=”” rule_color=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=””]

Please note that your practice information has already been passed to this payment form.  Also, you will be unable to adjust Campaign information as it is linked directly to your contract.

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