Schedule Appointment with Rivercreek Wellness

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Notes to Business (your address or any special notes about your order)

Item	Quantity	Total
Payment Plan for 4 Follow Up Visits	x $188.00	$218.00 $30.00 initial setup plus $188.00 every 4 weeks for 20 weeks ($970.00 total)
Total: $218.00	Coupon:

I agree to pay the full amount of the package price. If I am on a monthly payment plan, I agree to pay the full amount. If I do not pay the full amount, Rivercreek Wellness will work with a collection agency to collect outstanding debts.

Packages are nonrefundable after 24 hours of sale date and time. Packages are nontransferable.