Financial Arrangements (WI)
Wisconsin Financial Arrangements

Financial Arrangements (WI)

Our Financial Arrangements-Wisconsin form ensures your compliance with Federal and Wisconsin lending laws. 100 forms per tablet.

Order 5 or more and receive 10% off. Order 10 or more and receive 15% off.
Your Price:$20.95
Part Number:T270FA
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Quantity
Price
  • 5 - 10
  • $18.86
  • 10+
  • $17.81
This form is used to comply with all federal and Wisconsin state leading laws when entering into an agreement with a patient to pay a one time large bill, in installments.  

This form is not to be used for open-ended credit where charges are added to an open account of the patient.

Tablets of 100 double-sided sheets, pre-punched and cut to fit.

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