Credit Card Payment Use this form to pay your AVC invoices securely online! Billing Info First name * First Last Name * Last Pet(s) on Invoice: * Email Choose One (Or More): * Pay My Bill ( I have my invoice) Pay Scheduling Deposit Please note that Scheduling Deposits will be applied toward your visit, but are non-refundable and forfeited unless 48 hours notice of rescheduling or cancellation is provided. Any refunded deposit is subject to a 10% processing fee. However, if you must reschedule with less notice do let us know! If we are able to re-book the appointment (and we usually can), we’re happy to leave the deposit on your account as a credit for future services. Deposit For: * Surgery/Procedure ($25) New Client – First Appointment ($25) Current Client – Appointment Reservation ($25) Multi-Pet Appt Has this appointment been scheduled? Yes No – Contact me to schedule No – I will contact you to schedule when ready Your selections indicate you’d like to pay a current invoice AND put down a deposit for a future appointment. In the box below, put ONLY today’s invoice amount (the deposit will add on automatically). Invoice Amount * Credit Card * Credit Card Credit Card Credit Card Month 123456789101112 Credit Card Year 20252026202720282029203020312032203320342035 Credit Card Today’s Total ($$) If you are human, leave this field blank. Pay Total Now
