District of Columbia
Date of Birth
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ACH (Checking Account)
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For your protection, ACH transactions require an additional level of identity verification. Please choose an identification type and the corresponding number to verify your identity.
Social Security Number
By providing the information above and clicking “Complete My Order,” I authorize my payment in the amount indicated above to be processed as an electronic funds transfer (EFT) or draft drawn from my checking or savings account as identified above and, if necessary, electronic credits to my account to correct erroneous debits. I understand that my payment will be processed within two banking days. If the payment returns unpaid, I authorize you or your service provider to collect the payment by EFT(s) or draft(s) drawn from my account. I understand that this authorization will remain in full force and effect until I notify you that I wish to revoke it or cancelling my subscription to this service by calling 904-262-1234 and allow you reasonable opportunity to act on my notice.
PINNACLE BILLING SERVICES may appear on your credit card or bank statement for all applicable charges.
SAVE 20% off monthly fee when you bundle by selecting both packages!
Priority Savings package
Priority Health package
Annual Billing (get TWO months free!)
A single one-time setup fee ($1.99) applies to each order when selecting only one or both packages.
TOTAL SELECT A PACKAGE
Complete My Order
Likely you have had too many online transactions in a very short period of time. Please wait 15 minutes and try again.
This result could happen under several circumstances.
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Please contact to verify the status of your order before trying again.
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Now it is time to set your password to create your login credentials.
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