ORDER FORM
HealthAide Mail

Low Cost Email Delivery Service

- No Lock-In Contract
 - From Only $25.00/Month

Step #1: User Information

Practice Name:
Registered Name:
ABN:
Clinic Address:

Step #2: Contact Information

Full Name:
Email Address:
Phone Number:

Step #3: Billing Address

Street Address:
City:
State / Province:
Country:
Zip Code / Postal Code:

Step #4: Terms & Conditions

The HealthAide Terms and Conditions together with submission of this Order Form constitutes the Practice Customer Agreement, a legally binding agreement. You will need to read and agree to our Terms and Conditions in order to set up an Account and/or access and utilise our Services. By ticking the below, you represent that you have the authority on behalf of the User to submit this Order Form and agree to the Practice Customer Agreement.
I have read, understood and agree to our Terms and Conditions.
I agree to the Practice Customer Agreement.
1 MONTH FREE TRIAL OFFER TERMS OF USE 

This 1 month free trial offer entitles you free access to your chosen service (either Basic Plan, Standard Plan, or Pro Plan) for a period of 30 days from the moment you activate your trial period by submitting your payment details ("free trial period"). By submitting your payment details, you accept the 1 month free trial offer and (i) acknowledge and agree to HealthAide Terms and Conditions; (ii) acknowledge and agree your chosen service will be available to you free of charge until the end of your free trial period; (iii) if you do not terminate your chosen service before the end of your free trial period, you will be automatically subscribed to your chosen service plan on a monthly basis until you terminate your chosen service in accordance with HealthAide Terms and Conditions; and (iv) after your free trial period expires, you expressly authorise HealthAide to charge the credit card or debit card details provided monthly in accordance with HealthAide Terms and Conditions
I have read, understood and agree to the 1 month free trial offer .

Step #5: Checkout

Item
Price
$25 (+GST)
$35 (+GST)
$45 (+GST)
Credit Card Number:
CVC Code:
Expiry Month:
Expiry Year:
Item
amount
Dynamically Updated
$XX.00

30 Day Guarantee

We are committed to being a customer-obsessed organisation, and being your first choice in health media. If you are not 100% satisfied with a monthly newsletter provided by HealthAide, we will refund your money for that month no questions asked.

Secure Payment

All orders are through Stripe. Your credit card information is never stored in any way. We respect your privacy.
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