please complete in full
- CARD INFO
please enter the long card number without any spaces
Expiry Date (MM/YY)
card security number
Is this your card?
If 'no', who does this card belong to?
What is the address of the cardholder? (if not you)
Do we have the permission of the cardholder to charge to this card?
By providing these details you agree to our standard terms and conditions.
Your financial statement will be visible on your personal login page at all times.
You agree to ensure there are sufficient funds to pay the charges.
Any failed payments will accrue a £30 administrative charge.
Payment details are held and stored securely by our bank. Once entered, we can only see the last 4 digits of your payment card.
Your card details are held on file for payment of consultations, treatments and purchases. We are unable to accept any bookings without an active payment card on your account.