PAYMENT IS DUE IN FULL AT THE TIME SERVICES ARE RENDERED
I understand that if I do not pay as agreed, the account is subject to costs of collection, attorney fees, and including interest (any balance that is carried over a period of 30 days will accrue a monthly finance charge of 1.5% or 18% per annum). Any unpaid balances will result in legal actions which you are responsible for. Return check fee is 50.00. I understand that the hospital staff will provide an estimate of current and anticipated charges any time that I request one. I am requesting that veterinary care be provided for pets presented by me or my agents, including any pets cared for in the future. I understand that I am financially responsible for all services provided; a deposit may be required to initiate treatment.
I also grant LCAC and its representatives and employees the right to take photographs / videos of me and/or my pet, and to copyright, use and publish the same in print and/or electronically. Such photographs / videos of me and/or my pet with or without my name and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, and Web content including social media.