To start receiving the benefits of our Preventative Maintenance Plan, please complete and submit this form. Once submitted, you will be contacted by our office to receive payment. If you have any questions, please contact the office at (843) 651-6000.
If you would like to renew an existing maintenance plan, please click "Make a Payment" to be redirected to our secure payment processing platform, Payzer. Be sure to type your agreement number or invoice number in the memo.
New Preventative Maintenance Form
By completing this form, you authorize regularly scheduled charges to your Credit Card. You will be charged the amount indicated by office staff each billing period. A receipt for each payment will be provided to you and the charge will appear on your Credit Card Account Statement. You agree that no prior notification will be provided unless the date or amount changes, in which case you will receive notice from us at least 10 days prior to payment collection. You agree that to cancel recurring payment, you must provide the office notice at least 10 days prior to next billing date.