Delta dental recurring Payment Set Up

All online payments will incur a processing fee – credit/debit cards (2.9%) and ACH (0.8%).
ACH payments will take at least 5-7 business days to post your account.

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Name*

First Last

Email*

How often would you like your payment to recur?*

Recurring payments will begin on the day the payment has been submitted. If any adjustments are needed to your payment schedule, please visit your profile page.

What is the amount you would like to pay every month?*

All credit card and ACH transactions will include processing fees.

What is the amount you would like to pay every 3 months?*

All credit card and ACH transactions will include processing fees.

What is the amount you would like to pay every 6 months?*

All credit card and ACH transactions will include processing fees.

Payment Type:*

Hidden

Processing Fee – ACH – Every Month

Hidden

Processing Fee – ACH – Every 3 Months

Hidden

Processing Fee – ACH – Every 6 Months

Hidden

Processing Fee – Credit Card Every Month

Hidden

Processing Fee – Credit Card Every 3 Months

Hidden

Processing Fee – Credit Card Every 6 Months

Total – Every Month Recurring

Price: $0.00

Total – Every 3 Months Recurring

Price: $0.00

Total – Every 6 Months Recurring

Price: $0.00

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Delta dental recurring Payment Set Up

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