Please click on the 'picture' of the appointment you would like to book. The calendar of available appointments will appear below. Choose your appointment time and hit 'Continue'. The page will drop down to where you will enter your information and then the 'Pay Now' button at the bottom. Even if you do not have a Paypal account, it is Paypal who approves all of the transactions, so you can use a Visa/MC/Amex/Discover of your choice. I will receive notification of your appointment the minute you book it. I will be calling you at the phone number provided on your order form.