Printed Payment Policy Signs and Labels

PAYMENTS AND CO-PAYS ARE DUE BEFORE SERVICES ARE RENDERED NHEP-33990 NHEP 33990 NHEP33990 Medical Facility|Office PAYMENTS AND CO-PAYS ARE DUE BEFORE SERVICES ARE RENDERED SYM_00 Medical Facility|Office Payment Policies|Customer Service Policies|Retail White PAYMENTS AND CO-PAYS ARE DUE BEFORE…

ALL CO-PAYMENTS ARE COLLECTED AT THE TIME OF SERVICE IN ADDITION, DUE TO THE GROWING TREND TOWARD HIGH DEDUCTIBLE PLANS, PLEASE BE AWARE THAT WE WILL COLLECT AN ESTIMATED PAYMENT FOR OUR SERVICES AT THE TIME OF CHECKOUT SHOULD YOUR INSURANCE PAY THESE PROCEDURES IN FULL, WE WILL REFUND YOUR PAYMENT…

WE ACCEPT [ VISA, MasterCard ] DEBIT & CREDIT NHEP-17964 NHEP 17964 NHEP17964 Dining / Hospitality / Retail WE ACCEPT [ VISA, MasterCard ] DEBIT & CREDIT SYM_1284_a-U|SYM_1284_b-U Dining / Hospitality / Retail Payment Policies|Retail|Restaurant / Hospitality White WE ACCEPT [ VISA,…

SORRY NO CHECKS WE ACCEPT CASH OR CREDIT CARDS NHE-15694 NHE 15694 NHE15694 Dining / Hospitality / Retail SORRY NO CHECKS WE ACCEPT CASH OR CREDIT CARDS SYM_00 Dining / Hospitality / Retail Payment Policies|Retail|Restaurant / Hospitality White SORRY NO CHECKS WE ACCEPT CASH OR CREDIT CARDS…

WE ACCEPT [ VISA, MasterCard ] DEBIT & CREDIT NHE-17964 NHE 17964 NHE17964 Dining / Hospitality / Retail WE ACCEPT [ VISA, MasterCard ] DEBIT & CREDIT SYM_1284_a-U|SYM_1284_b-U Dining / Hospitality / Retail Payment Policies|Retail|Restaurant / Hospitality White WE ACCEPT [ VISA, MasterCard…

WE ACCEPT [ VISA, MasterCard ] NHEP-17965 NHEP 17965 NHEP17965 Dining / Hospitality / Retail WE ACCEPT [ VISA, MasterCard ] SYM_1284_a-U|SYM_1284_b-U Dining / Hospitality / Retail Payment Policies|Retail|Restaurant / Hospitality White WE ACCEPT [ VISA, MasterCard ] English Printed Surface Mount …

PLEASE BE PREPARED TO SHOW YOUR ID AND INSURANCE CARD PAY YOUR CO-PAY OR BASE FEE AND UPDATE YOUR INFORMATION AT CHECK IN NHEP-33960 NHEP 33960 NHEP33960 Medical Facility|Office PLEASE BE PREPARED TO SHOW YOUR ID AND INSURANCE CARD PAY YOUR CO-PAY OR BASE FEE AND UPDATE YOUR INFORMATION AT CHECK…

CO-PAYS ARE REQUIRED AT THE TIME SERVICES ARE RENDERED THANK YOU SE REQUIERE EL CO-PAGO EN EL MOMENTO DE RECIBIR LOS SERVICIOS GRACIAS NHB-9576-White_on_Black NHB 9576 NHB9576 Dining / Hospitality / Retail|Medical Facility CO-PAYS ARE REQUIRED AT THE TIME SERVICES ARE RENDERED THANK YOU SE…

WE ACCEPT ALL MAJOR CREDIT AND DEBIT CARDS NHE-17962 NHE 17962 NHE17962 Dining / Hospitality / Retail WE ACCEPT ALL MAJOR CREDIT AND DEBIT CARDS SYM_00 Dining / Hospitality / Retail Payment Policies|Retail|Restaurant / Hospitality White WE ACCEPT ALL MAJOR CREDIT AND DEBIT CARDS English Printed…

ALL CO-PAYMENTS ARE COLLECTED AT THE TIME OF SERVICE IN ADDITION, DUE TO THE GROWING TREND TOWARD HIGH DEDUCTIBLE PLANS, PLEASE BE AWARE THAT WE WILL COLLECT AN ESTIMATED PAYMENT FOR OUR SERVICES AT THE TIME OF CHECKOUT SHOULD YOUR INSURANCE PAY THESE PROCEDURES IN FULL, WE WILL REFUND YOUR PAYMENT…

CO-PAYS ARE REQUIRED AT THE TIME SERVICES ARE RENDERED THANK YOU NHEP-9576-White_on_Black NHEP 9576 NHEP9576 Dining / Hospitality / Retail|Medical Facility CO-PAYS ARE REQUIRED AT THE TIME SERVICES ARE RENDERED THANK YOU SYM_00 Dining / Hospitality / Retail|Medical Facility Payment Policies|Retail…

WE ACCEPT ALL MAJOR CREDIT CARDS WITH A MINIMUM PURCHASE OF $10 OR MORE SORRY WE DO NOT ACCEPT CHECKS NHE-34046 NHE 34046 NHE34046 Medical Facility|Office WE ACCEPT ALL MAJOR CREDIT CARDS WITH A MINIMUM PURCHASE OF $10 OR MORE SORRY WE DO NOT ACCEPT CHECKS SYM_00 Medical Facility|Office Payment…

ALL PRODUCTS SOLD AS IS NO REFUNDS OR EXCHANGES NHE-33932 NHE 33932 NHE33932 Dining / Hospitality / Retail ALL PRODUCTS SOLD AS IS NO REFUNDS OR EXCHANGES SYM_00 Dining / Hospitality / Retail Payment Policies|Policies / Regulations|Customer Service Policies White ALL PRODUCTS SOLD AS IS NO REFUNDS…

CASH ONLY NO CHECKS, DEBIT OR CREDIT CARDS ACCEPTED NHE-15688 NHE 15688 NHE15688 Dining / Hospitality / Retail CASH ONLY NO CHECKS, DEBIT OR CREDIT CARDS ACCEPTED SYM_00 Dining / Hospitality / Retail Payment Policies|Restaurant / Hospitality|Retail White CASH ONLY NO CHECKS, DEBIT OR CREDIT CARDS…

DEBIT CARD POLICY NHE-17971 NHE 17971 NHE17971 Dining / Hospitality / Retail DEBIT CARD POLICY SYM_00 Dining / Hospitality / Retail Payment Policies|Restaurant / Hospitality|Retail White DEBIT CARD POLICY English Printed Surface Mount E-17971 17971 971 HE-17971 7971 -17971

[ Discover, VISA, MasterCard ] GLADLY ACCEPTED FOR YOUR PURCHASES NHE-17961 NHE 17961 NHE17961 Dining / Hospitality / Retail [ Discover, VISA, MasterCard ] GLADLY ACCEPTED FOR YOUR PURCHASES SYM_1284_a-U|SYM_1284_b-U|SYM_1284-U Dining / Hospitality / Retail Payment Policies|Retail|Restaurant /…

ALL CO-PAYMENTS ARE COLLECTED AT THE TIME OF SERVICE IN ADDITION, DUE TO THE GROWING TREND TOWARD HIGH DEDUCTIBLE PLANS, PLEASE BE AWARE THAT WE WILL COLLECT AN ESTIMATED PAYMENT FOR OUR SERVICES AT THE TIME OF CHECKOUT SHOULD YOUR INSURANCE PAY THESE PROCEDURES IN FULL, WE WILL REFUND YOUR PAYMENT…

WE ACCEPT ALL MAJOR CREDIT AND DEBIT CARDS NHEP-17962 NHEP 17962 NHEP17962 Dining / Hospitality / Retail WE ACCEPT ALL MAJOR CREDIT AND DEBIT CARDS SYM_00 Dining / Hospitality / Retail Payment Policies|Retail|Restaurant / Hospitality White WE ACCEPT ALL MAJOR CREDIT AND DEBIT CARDS English Printed…

PLACE ORDER HERE PAY HERE THANK YOU NHEP-33959_RED NHEP 33959 NHEP33959 Dining / Hospitality / Retail PLACE ORDER HERE PAY HERE THANK YOU SYM_00 Dining / Hospitality / Retail Payment Policies|Customer Service Policies|Retail|Information Red PLACE ORDER HERE PAY HERE THANK YOU English Printed…

PLEASE BE PREPARED TO PAY ANY COPAY, COINSURANCE, OR DEDUCTIBLE AT THE TIME OF SERVICE NHE-35646 NHE 35646 NHE35646 Medical Facility PLEASE BE PREPARED TO PAY ANY COPAY, COINSURANCE, OR DEDUCTIBLE AT THE TIME OF SERVICE SYM_00 Medical Facility Payment Policies White PLEASE BE PREPARED TO PAY ANY…

WE ACCEPT [ Discover, VISA, American Express, MasterCard ] NHE-17967 NHE 17967 NHE17967 Dining / Hospitality / Retail WE ACCEPT [ Discover, VISA, American Express, MasterCard ] SYM_1284_a-U|SYM_1284_b-U|SYM_1284-U|SYM_1284_c-U Dining / Hospitality / Retail Payment Policies|Retail|Restaurant /…

WE ACCEPT [ Discover, VISA, American Express, MasterCard ] NHE-17982 NHE 17982 NHE17982 Dining / Hospitality / Retail WE ACCEPT [ Discover, VISA, American Express, MasterCard ] SYM_1284_a-U|SYM_1284_b-U|SYM_1284-U|SYM_1284_c-U Dining / Hospitality / Retail Payment Policies|Retail|Restaurant /…

CO-PAYS, DEDUCTIBLES AND COINSURANCE ARE DUE AT THE TIME OF SERVICE NHE-33940_BLU NHE 33940 NHE33940 Medical Facility|Office CO-PAYS, DEDUCTIBLES AND COINSURANCE ARE DUE AT THE TIME OF SERVICE SYM_00 Medical Facility|Office Payment Policies|Customer Service Policies Blue CO-PAYS, DEDUCTIBLES AND…

THERE IS A $25 CHARGE FOR MISSED APPOINTMENTS KINDLY CALL 24 HOURS IN ADVANCE TO CANCEL OR RESCHEDULE YOUR APPOINTMENT NHE-33967 NHE 33967 NHE33967 Medical Facility|Office THERE IS A $25 CHARGE FOR MISSED APPOINTMENTS KINDLY CALL 24 HOURS IN ADVANCE TO CANCEL OR RESCHEDULE YOUR APPOINTMENT SYM_00…

FULL PAYMENT IS REQUIRED AT TIME OF TREATMENT UNLESS PRIOR ARRANGEMENTS HAVE BEEN MADE NHE-18730 NHE 18730 NHE18730 Dining / Hospitality / Retail FULL PAYMENT IS REQUIRED AT TIME OF TREATMENT UNLESS PRIOR ARRANGEMENTS HAVE BEEN MADE SYM_00 Dining / Hospitality / Retail Payment Policies|Customer…

CO-PAYS ARE REQUIRED AT THE TIME SERVICES ARE RENDERED THANK YOU SE REQUIERE EL CO-PAGO EN EL MOMENTO DE RECIBIR LOS SERVICIOS GRACIAS NHB-9576-White_on_Blue NHB 9576 NHB9576 Dining / Hospitality / Retail|Medical Facility CO-PAYS ARE REQUIRED AT THE TIME SERVICES ARE RENDERED THANK YOU SE REQUIERE…

YOUR CO-PAY IS EXPECTED AT THE TIME OF SERVICE, UNLESS PRIOR FINANCIAL ARRANGEMENTS HAVE BEEN MADE. NHE-18729 NHE 18729 NHE18729 Dining / Hospitality / Retail YOUR CO-PAY IS EXPECTED AT THE TIME OF SERVICE, UNLESS PRIOR FINANCIAL ARRANGEMENTS HAVE BEEN MADE. SYM_00 Dining / Hospitality / Retail…

CASH ONLY NHE-15690 NHE 15690 NHE15690 Dining / Hospitality / Retail CASH ONLY SYM_00 Dining / Hospitality / Retail Payment Policies|Restaurant / Hospitality|Retail White CASH ONLY English Printed Surface Mount 5690 HE-15690 E-15690 15690 -15690 690

PAYMENT IS EXPECTED WHEN SERVICES ARE RENDERED UNLESS PRIOR ARRANGEMENTS HAVE BEEN MADE NHE-17958 NHE 17958 NHE17958 Dining / Hospitality / Retail PAYMENT IS EXPECTED WHEN SERVICES ARE RENDERED UNLESS PRIOR ARRANGEMENTS HAVE BEEN MADE SYM_00 Dining / Hospitality / Retail Payment Policies|Retail…

PAYMENTS AND CO-PAYS ARE DUE BEFORE SERVICES ARE RENDERED NHEP-33990_BLU NHEP 33990 NHEP33990 Medical Facility|Office PAYMENTS AND CO-PAYS ARE DUE BEFORE SERVICES ARE RENDERED SYM_00 Medical Facility|Office Payment Policies|Customer Service Policies|Retail Blue PAYMENTS AND CO-PAYS ARE DUE BEFORE…

CASHIER NHE-9640-White_on_Blue NHE 9640 NHE9640 Wayfinding CASHIER SYM_00 Wayfinding Information|Payment Policies|Restaurant / Hospitality|Retail|Occupations Blue CASHIER English Printed Surface Mount 0-WhiteonBlue nBlue Blue E-9640-WhiteonBlue onBlue 640-WhiteonBlue eonBlue HE-9640-WhiteonBlue…

WE DO NOT CASH CHECKS NO CASH ON PREMISES NHE-33969 NHE 33969 NHE33969 Dining / Hospitality / Retail|Office WE DO NOT CASH CHECKS NO CASH ON PREMISES SYM_00 Dining / Hospitality / Retail|Office Payment Policies|Policies / Regulations|Customer Service Policies White WE DO NOT CASH CHECKS NO CASH ON…

[ Discover, VISA, MasterCard ] ACCEPTED FOR YOUR PURCHASES NHE-17979 NHE 17979 NHE17979 Dining / Hospitality / Retail [ Discover, VISA, MasterCard ] ACCEPTED FOR YOUR PURCHASES SYM_1284_a-U|SYM_1284_b-U|SYM_1284-U Dining / Hospitality / Retail Payment Policies|Retail|Restaurant / Hospitality White…

NO CASH ACCEPTED MONEY ORDERS ONLY NHE-33985 NHE 33985 NHE33985 Dining / Hospitality / Retail NO CASH ACCEPTED MONEY ORDERS ONLY SYM_00 Dining / Hospitality / Retail Payment Policies White NO CASH ACCEPTED MONEY ORDERS ONLY English Printed Surface Mount universal E-33985 33985 HE-33985 985 -33985 3985

$50 CANCELLATION FEE WILL BE APPLIED TO MISSED OR CANCELED APPOINTMENTS WITHOUT 48 HOURS IN ADVANCE NOTICE NHE-33923 NHE 33923 NHE33923 Medical Facility $50 CANCELLATION FEE WILL BE APPLIED TO MISSED OR CANCELED APPOINTMENTS WITHOUT 48 HOURS IN ADVANCE NOTICE SYM_00 Medical Facility Payment…

WE ACCEPT [ Discover, VISA, MasterCard ] NHEP-17966 NHEP 17966 NHEP17966 Dining / Hospitality / Retail WE ACCEPT [ Discover, VISA, MasterCard ] SYM_1284_a-U|SYM_1284_b-U|SYM_1284-U Dining / Hospitality / Retail Payment Policies|Retail|Restaurant / Hospitality White WE ACCEPT [ Discover, VISA,…

CASHIER (with right arrow) NHE-9645-White_on_Red NHE 9645 NHE9645 Wayfinding CASHIER (with right arrow) SYM_119-U Wayfinding Information|Payment Policies|Restaurant / Hospitality|Retail|Occupations Red CASHIER (with right arrow) English Printed Surface Mount HE-9645-WhiteonRed 45-WhiteonRed…

WE ACCEPT [ Discover, VISA, American Express, MasterCard ] NHEP-17967 NHEP 17967 NHEP17967 Dining / Hospitality / Retail WE ACCEPT [ Discover, VISA, American Express, MasterCard ] SYM_1284_a-U|SYM_1284_b-U|SYM_1284-U|SYM_1284_c-U Dining / Hospitality / Retail Payment Policies|Retail|Restaurant /…

CO-PAYS ARE REQUIRED AT THE TIME SERVICES ARE RENDERED THANK YOU NHE-9576-White_on_Black NHE 9576 NHE9576 Dining / Hospitality / Retail|Medical Facility CO-PAYS ARE REQUIRED AT THE TIME SERVICES ARE RENDERED THANK YOU SYM_00 Dining / Hospitality / Retail|Medical Facility Payment Policies|Retail…

PLACE ORDER HERE PAY HERE THANK YOU NHE-33959_RED NHE 33959 NHE33959 Dining / Hospitality / Retail PLACE ORDER HERE PAY HERE THANK YOU SYM_00 Dining / Hospitality / Retail Payment Policies|Customer Service Policies|Retail|Information Red PLACE ORDER HERE PAY HERE THANK YOU English Printed Surface…

PLACE ORDER HERE PAY HERE THANK YOU NHE-33959 NHE 33959 NHE33959 Dining / Hospitality / Retail PLACE ORDER HERE PAY HERE THANK YOU SYM_00 Dining / Hospitality / Retail Payment Policies|Customer Service Policies|Retail|Information White PLACE ORDER HERE PAY HERE THANK YOU English Printed Surface…

PAYMENTS DUE AT TIME OF SERVICE NHE-33991_GRN NHE 33991 NHE33991 Medical Facility|Office PAYMENTS DUE AT TIME OF SERVICE SYM_00 Medical Facility|Office Payment Policies|Customer Service Policies|Retail Green PAYMENTS DUE AT TIME OF SERVICE English Printed Surface Mount universal E-33991GRN 91GRN…

CO-INSURANCE DEDUCTIBLES AND NON-COVERED CHARGES ARE TO BE PAID ON THE DAY OF TREATMENT NHEP-33938_BLU NHEP 33938 NHEP33938 Medical Facility|Office CO-INSURANCE DEDUCTIBLES AND NON-COVERED CHARGES ARE TO BE PAID ON THE DAY OF TREATMENT SYM_00 Medical Facility|Office Payment Policies|Customer…

15% GRATUITY WILL BE ADDED FOR PARTIES OF SIX (6) OR MORE NHE-18718 NHE 18718 NHE18718 Dining / Hospitality / Retail 15% GRATUITY WILL BE ADDED FOR PARTIES OF SIX (6) OR MORE SYM_00 Dining / Hospitality / Retail Payment Policies|Restaurant / Hospitality|Retail White 15% GRATUITY WILL BE ADDED FOR…

PLACE ORDER HERE PAY HERE THANK YOU NHEP-33959 NHEP 33959 NHEP33959 Dining / Hospitality / Retail PLACE ORDER HERE PAY HERE THANK YOU SYM_00 Dining / Hospitality / Retail Payment Policies|Customer Service Policies|Retail|Information White PLACE ORDER HERE PAY HERE THANK YOU English Printed Surface…

CASH REGISTER CONTAINS LESS THAN $50 NHEP-33982_YBSTR NHEP 33982 NHEP33982 Dining / Hospitality / Retail CASH REGISTER CONTAINS LESS THAN $50 SYM_00 Dining / Hospitality / Retail Payment Policies|Customer Service Policies Yellow CASH REGISTER CONTAINS LESS THAN $50 English Printed Surface Mount…

CASHIER (with right arrow) NHE-9645-White_on_Black NHE 9645 NHE9645 Wayfinding CASHIER (with right arrow) SYM_119-U Wayfinding Information|Payment Policies|Restaurant / Hospitality|Retail|Occupations Black CASHIER (with right arrow) English Printed Surface Mount 45-WhiteonBlack -WhiteonBlack…

SORRY NO CREDIT CARDS ACCEPTED NHEP-15692 NHEP 15692 NHEP15692 Dining / Hospitality / Retail SORRY NO CREDIT CARDS ACCEPTED PROHIB_134-U Dining / Hospitality / Retail Payment Policies|Retail|Restaurant / Hospitality White SORRY NO CREDIT CARDS ACCEPTED English Printed Surface Mount EP-15692 15692…

CASHIER NHE-9655-Black_on_White NHE 9655 NHE9655 Wayfinding CASHIER SYM_100-U Wayfinding Information|Payment Policies|Restaurant / Hospitality|Retail|Occupations White CASHIER English Printed Surface Mount hite 5-BlackonWhite -BlackonWhite onWhite lackonWhite HE-9655-BlackonWhite 55-BlackonWhite…

PAYMENTS OF ALL CO-PAYS, DEDUCTIBLES AND/OR COINSURANCE ARE DUE AT THE TIME OF SERVICE NHE-33958_RED NHE 33958 NHE33958 Medical Facility|Office PAYMENTS OF ALL CO-PAYS, DEDUCTIBLES AND/OR COINSURANCE ARE DUE AT THE TIME OF SERVICE SYM_00 Medical Facility|Office Payment Policies|Customer Service…

CASHIER (with right arrow) NHE-9645-White_on_Navy NHE 9645 NHE9645 Wayfinding CASHIER (with right arrow) SYM_119-U Wayfinding Information|Payment Policies|Restaurant / Hospitality|Retail|Occupations Navy CASHIER (with right arrow) English Printed Surface Mount HE-9645-WhiteonNavy 645-WhiteonNavy…

CASH ONLY THANK YOU NHE-15691 NHE 15691 NHE15691 Dining / Hospitality / Retail CASH ONLY THANK YOU SYM_00 Dining / Hospitality / Retail Payment Policies|Restaurant / Hospitality|Retail White CASH ONLY THANK YOU English Printed Surface Mount E-15691 15691 5691 HE-15691 -15691 691

CASHIER (with right arrow) NHE-9645-White_on_Canyon NHE 9645 NHE9645 Wayfinding CASHIER (with right arrow) SYM_119-U Wayfinding Information|Payment Policies|Restaurant / Hospitality|Retail|Occupations Canyon CASHIER (with right arrow) English Printed Surface Mount anyon iteonCanyon eonCanyon…

WE DO NOT ACCEPT CHECKS NHE-33997 NHE 33997 NHE33997 Dining / Hospitality / Retail WE DO NOT ACCEPT CHECKS SYM_00 Dining / Hospitality / Retail Payment Policies|Policies / Regulations|Customer Service Policies|Retail White WE DO NOT ACCEPT CHECKS English Printed Surface Mount universal E-33997…

THIS IS A NON-SMOKING ROOM IF SMOKING OCCURS DURING YOUR STAY A [ custom amount ] CLEANING FEE WILL BE CHARGED NHE-18328 NHE 18328 NHE18328 No Smoking THIS IS A NON-SMOKING ROOM IF SMOKING OCCURS DURING YOUR STAY A [ custom amount ] CLEANING FEE WILL BE CHARGED PROHIB_01-U No Smoking No…

PLEASE BE PREPARED TO PAY ANY COPAY, COINSURANCE, OR DEDUCTIBLE AT THE TIME OF SERVICE NHEP-35646 NHEP 35646 NHEP35646 Medical Facility PLEASE BE PREPARED TO PAY ANY COPAY, COINSURANCE, OR DEDUCTIBLE AT THE TIME OF SERVICE SYM_00 Medical Facility Payment Policies White PLEASE BE PREPARED TO PAY…

INSURANCE REGULATIONS PROHIBIT CUSTOMERS IN THE SHOP AREA NHE-33980_WBLUSTR NHE 33980 NHE33980 Medical Facility INSURANCE REGULATIONS PROHIBIT CUSTOMERS IN THE SHOP AREA SYM_00 Medical Facility Payment Policies|Policies / Regulations|Customer Service Policies White INSURANCE REGULATIONS PROHIBIT…

FULL PAYMENT IS REQUIRED AT TIME OF TREATMENT UNLESS PRIOR ARRANGEMENTS HAVE BEEN MADE NHEP-18730 NHEP 18730 NHEP18730 Dining / Hospitality / Retail FULL PAYMENT IS REQUIRED AT TIME OF TREATMENT UNLESS PRIOR ARRANGEMENTS HAVE BEEN MADE SYM_00 Dining / Hospitality / Retail Payment Policies|Customer…

THERE IS A $25 SERVICE CHARGE FOR ALL RETURNED CHECKS NHE-17959 NHE 17959 NHE17959 Dining / Hospitality / Retail THERE IS A $25 SERVICE CHARGE FOR ALL RETURNED CHECKS SYM_00 Dining / Hospitality / Retail Payment Policies|Retail|Restaurant / Hospitality White THERE IS A $25 SERVICE CHARGE FOR ALL…

PLEASE NOTE: A FEE OF $25 IS DUE PRIOR TO COMPLETING FORM OR LETTER REQUESTS THIS INCLUDES DOCUMENTS FAXED TO OUR OFFICE NHE-33961_BLK NHE 33961 NHE33961 Office PLEASE NOTE: A FEE OF $25 IS DUE PRIOR TO COMPLETING FORM OR LETTER REQUESTS THIS INCLUDES DOCUMENTS FAXED TO OUR OFFICE SYM_00 Office…

SORRY NO CREDIT CARDS ACCEPTED NHE-15692 NHE 15692 NHE15692 Dining / Hospitality / Retail SORRY NO CREDIT CARDS ACCEPTED PROHIB_134-U Dining / Hospitality / Retail Payment Policies|Retail|Restaurant / Hospitality White SORRY NO CREDIT CARDS ACCEPTED English Printed Surface Mount E-15692 15692…

WE IMPOSE A SURCHARGE OF ____% ON THE TRANSACTION AMOUNT ON MASTERCARD AND VISA CREDIT CARD PRODUCTS, WHICH IS NOT GREATER THAN OUR COST OF ACCEPTANCE. WE DO NOT SURCHARGE MASTERCARD AND VISA DEBIT CARDS. NHE-18640 NHE 18640 NHE18640 Dining / Hospitality / Retail WE IMPOSE A SURCHARGE OF ____% ON…

PLEASE NOTIFY THE RECEPTIONIST OF A CHANGE IN ADDRESS, PHONE NUMBER OR INSURANCE COVERAGE. NHEP-9590 NHEP 9590 NHEP9590 Medical Facility PLEASE NOTIFY THE RECEPTIONIST OF A CHANGE IN ADDRESS, PHONE NUMBER OR INSURANCE COVERAGE. SYM_00 Medical Facility Payment Policies|Retail White PLEASE NOTIFY…

WE IMPOSE A SURCHARGE OF $____ ON THE TRANSACTION AMOUNT ON VISA CREDIT CARD PRODUCTS, WHICH IS NOT GREATER THAN OUR COST OF ACCEPTANCE. WE DO NOT SURCHARGE VISA DEBIT CARDS. NHEP-18637 NHEP 18637 NHEP18637 Dining / Hospitality / Retail WE IMPOSE A SURCHARGE OF $____ ON THE TRANSACTION AMOUNT ON…

IF YOU FAIL TO PROVIDE CORRECT OR UPDATED INSURANCE INFORMATION TO OUR OFFICE YOU WILL BE RESPONSIBLE FOR THE FULL AMOUNT OF YOUR BILL PLEASE PROVIDE ANY NEW INSURANCE CARDS YOU RECEIVE AND ALL SECONDARY INSURANCE INFORMATION NHEP-33953_BLK NHEP 33953 NHEP33953 Medical Facility|Office IF YOU FAIL…

SORRY NO CREDIT CARDS ACCEPTED NHE-15957 NHE 15957 NHE15957 Dining / Hospitality / Retail SORRY NO CREDIT CARDS ACCEPTED SYM_00 Dining / Hospitality / Retail Payment Policies|Retail|Restaurant / Hospitality White SORRY NO CREDIT CARDS ACCEPTED English Printed Surface Mount 957 E-15957 15957 5957…