Invoice Payment Dollars.Cents

Name: Invoice Payment Dollars.Cents
SKU: INV-DollarCents
Availability: InStock

$0.01

PAY your Buckley’s Renewal Center INVOICE by following the steps below:
1 – Enter you COMPANY Name or the ACCOUNT NAME as is on the INVOICE.
2- Next enter the INVOICE NUMBER (s) the your are Paying – Separate the Numbers by Dashes or Commas
3- In the QTY (Quantity) field ( Next to the Green Add to Cart Button), enter the AMOUNT that your are PAYING (in FULL Amount INCLUDING CENTS but NO decimal ).
For Example to Pay $100.00 Please enter 10000

ID Number -Driver's License Number or Last 4 of SSN *

Please enter the specimen donor's DL# or last 4 of SSN for identification

First Name: (Test subject ) *

Specimen Donor's First's Name

Middle Initial

Specimen donors first letter of middle name

Last Name -(Test Subject) *

Specimen donor Last name or Family Name

Phone Number (Test Subject) *

Specimen donor's phone number

Desired Test Location: City , State - Or Zipcode *

The City and State (or Zipcode) where you would like the specimen collected. We will try to find you the closest location. Kindly note that if a 3rd Party specimen collector is required or used, additional fees will apply. Specimen collected by the respective Labcorp or Quest facility directly do not incur the 3rd party fees.

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SKU: INV-DollarCents Category: Uncategorized