By clicking “Pay Now,” I authorize this business to keep my credit card on file for any future transactions until I request a cancellation. I understand that the terms of this authorization will remain in effect until I request that they be terminated. I acknowledge that I am responsible for making this request in writing. This recurring charge is to cover the cost of weight loss services. I authorize this business to charge and keep my credit card on file for the amount listed in the invoice with an additional surcharge on September 4, 2026 and for the same amount on a monthly basis thereafter. I acknowledge that I will receive a receipt for each charge made and that no prior notification is needed unless the date or amount of a charge is subject to change, in which case the Business must notify me of such changes at least 14 days in advance of when the change(s) will take affect. I understand that the terms of this authorization will remain in effect until the cost of services are paid in full.