{"id":2072,"date":"2025-10-04T12:07:22","date_gmt":"2025-10-04T12:07:22","guid":{"rendered":"https:\/\/public.morainegrove.com\/content\/?page_id=2072"},"modified":"2025-10-04T16:05:45","modified_gmt":"2025-10-04T16:05:45","slug":"pre-payment-account","status":"publish","type":"page","link":"https:\/\/public.morainegrove.com\/content\/pre-payment-account\/","title":{"rendered":"Pre-Payment Sign-up"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;20px&#8221; text_line_height=&#8221;1.8em&#8221; header_2_font=&#8221;|700|||||||&#8221; header_2_text_color=&#8221;#c41b1b&#8221; header_2_font_size=&#8221;35px&#8221; header_2_text_shadow_style=&#8221;preset2&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Set up your Pre-payment funding account for your next visit.<\/p>\n<p><strong>This is a simple 2 step process<\/strong><\/p>\n<div class=\"__unstyled paragraph alignment--left  paperform__page paperform__page--0\" data-block=\"true\" data-editor=\"paperform-editor\" data-offset-key=\"63ees-0-0\">\n<div data-offset-key=\"63ees-0-0\" class=\"public-DraftStyleDefault-block public-DraftStyleDefault-ltr\"><span data-offset-key=\"63ees-0-0\">If you are interested in signing up for a pre-payment account, please fill out this form and a representative from our clinic who is familiar with this program will contact you or you can just sign up now online without needing to talk with anyone. Any unused funds can be refunded at any time just with a simple phone call or email.<\/span><\/div>\n<\/div>\n<div class=\"__unstyled paragraph alignment--left  paperform__page paperform__page--0\" data-block=\"true\" data-editor=\"paperform-editor\" data-offset-key=\"59v3k-0-0\">\n<div data-offset-key=\"59v3k-0-0\" class=\"public-DraftStyleDefault-block public-DraftStyleDefault-ltr\"><span data-offset-key=\"59v3k-0-0\">You may call our manager at any time and leave a message. He will routinely return calls within 24 hours. His number is 724-242-8222.\u00a0 You only need to complete step 2 if you want to make sure your card is on file with us now.<\/span><\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>STEP 1 &#8211; Fill out this form<\/h2>\n<p>[\/et_pb_text][et_pb_code _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div data-paperform-id=\"mgvc-pprecur\"><\/div>\n<p><script>(function() {var script = document.createElement('script'); script.src = \"https:\/\/paperform.co\/__embed.min.js\"; document.body.appendChild(script); })()<\/script>[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text module_id=&#8221;STEP2&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;20px&#8221; header_2_font=&#8221;|700|||||||&#8221; header_2_text_color=&#8221;#c41b1b&#8221; header_2_font_size=&#8221;35px&#8221; header_2_text_shadow_style=&#8221;preset2&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>&nbsp;<\/p>\n<h2>STEP 2 &#8211; Make your first payment<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;20px&#8221; text_line_height=&#8221;1.8em&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>You only have to complete this step if the card you want to use has not been used at the clinic within the last year.\u00a0 If you are not sure, you can just complete the 2nd step as it will only charge your card $1.00 now which will go on your account and to verify your card information.\u00a0 The information asked in the next page will go directly to PayJunction.\u00a0 Your card number will not be kept at our clinic and only the last 4 digits are available for us to see even through their dashboard.\u00a0 Your name and address will be used to verify we have the correct account and the email address will enable PayJunction to send you a receipt then they charge your account.<\/p>\n<p>[\/et_pb_text][et_pb_code _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<form method=\"post\" action=\"https:\/\/www.payjunction.com\/trinity\/quickshop\/add_to_cart_snap.action\"><!-- [et_pb_line_break_holder] -->  <input type=\"hidden\" name=\"description\" value=\"Pre-Payment Account\"><!-- [et_pb_line_break_holder] -->  <input type=\"hidden\" name=\"need_to_ship\" value=\"no\"><!-- [et_pb_line_break_holder] -->  <input type=\"hidden\" name=\"need_to_tax\" value=\"no\"><!-- [et_pb_line_break_holder] -->  <input type=\"hidden\" name=\"identifier\" value=\"ONLINE-CO\"><!-- [et_pb_line_break_holder] -->  <input type=\"hidden\" name=\"quantity\" value=\"1\"><!-- [et_pb_line_break_holder] -->  <input type=\"hidden\" name=\"store\" value=\"pre-payment-funding-account\"><!-- [et_pb_line_break_holder] -->  <input type=\"hidden\" name=\"fingerprint\" value=\"eb978eb70b49c18c815405325b3dbbf3\"><!-- [et_pb_line_break_holder] --><!--  <label style=\"color: black; font-size: 24px; margin-left: 20px;\">Payment Amount <!\u2013- [et_pb_br_holder] -\u2013>$<\/label>--><!-- [et_pb_line_break_holder] -->  <input type=\"hidden\" name=\"price\"  value=\"1.00\" style=\"background-color: red; color: white; font-size:24px\"; placeholder=\"0.00\"><!-- [et_pb_line_break_holder] -->  <!\u2013- [et_pb_br_holder] -\u2013><!-- [et_pb_line_break_holder] -->  <input type=\"submit\" style=\" margin-left: 20px; padding: 20px 60px; font-size: 20px;border:1px black solid; background-color: red; color: white; font-weight:800; box-shadow: 5px 10px #666;\" name=\"submit\" value=\"Verify Pre-Payment Card \"><!-- [et_pb_line_break_holder] -->  <!\u2013- [et_pb_br_holder] -\u2013> <!-- [et_pb_line_break_holder] --><!--  <img decoding=\"async\" src=\"https:\/\/payjunction.com\/payjunction_secure_credit_card_merchant_account_transaction_process.gif\"><!-- [et_pb_line_break_holder] -->  <a target=\"_blank\" rel=\"nofollow noopener\" href=\"https:\/\/www.payjunction.com\" style=\"text-decoration:underline; color:#666666\">PayJunction<\/a> &#8211;><!-- [et_pb_line_break_holder] --><\/form>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Set up your Pre-payment funding account for your next visit. This is a simple 2 step process If you are interested in signing up for a pre-payment account, please fill out this form and a representative from our clinic who is familiar with this program will contact you or you can just sign up now [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-2072","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/public.morainegrove.com\/content\/wp-json\/wp\/v2\/pages\/2072","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/public.morainegrove.com\/content\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/public.morainegrove.com\/content\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/public.morainegrove.com\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/public.morainegrove.com\/content\/wp-json\/wp\/v2\/comments?post=2072"}],"version-history":[{"count":9,"href":"https:\/\/public.morainegrove.com\/content\/wp-json\/wp\/v2\/pages\/2072\/revisions"}],"predecessor-version":[{"id":2089,"href":"https:\/\/public.morainegrove.com\/content\/wp-json\/wp\/v2\/pages\/2072\/revisions\/2089"}],"wp:attachment":[{"href":"https:\/\/public.morainegrove.com\/content\/wp-json\/wp\/v2\/media?parent=2072"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}