PhysioDoula Reclaim Community Initiative | PhysioDoula Reclaim Initiative

CARD PAYPAL BANK TRANSFER

Card Number

MM / YY

CVC Code

The 3-4 digits on the back of your credit card

Billing ZIP Code

Enter the Zip/Postal code for your credit card billing address

By clicking Donate, you authorise PHYSIODOULA RECLAIM to debit the bank account that you connect to for any amount owed for charges arising from your use of PHYSIODOULA RECLAIM’ services and/or purchase of products from PHYSIODOULA RECLAIM, pursuant to PHYSIODOULA RECLAIM’ website and terms, until this authorisation is revoked. You may amend or cancel this authorisation at any time by providing notice to PHYSIODOULA RECLAIM with 30 (thirty) days notice.

If you use PHYSIODOULA RECLAIM’ services or purchase additional products periodically pursuant to PHYSIODOULA RECLAIM’ terms, you authorise PHYSIODOULA RECLAIM to debit your bank account periodically. Payments that fall outside the regular debits authorised above will only be debited after your authorisation is obtained.

Bank Name

Account Type

Account Last 4

Donate from your bank using Plaid, a secure and encrypted bank transfer service.

Optionally add to cover processing fees

You can log in to edit your recurring donation any time