Common use of Billing Terms Clause in Contracts

Billing Terms. OxygenToGo® will charge your credit card for the expected rental period to confirm your reservation. OxygenToGo® will charge your credit card again with the actual shipping costs when we send it out to you. OxygenToGo® will also charge customer for return shipping upon return of unit. a. Devices are selected based on the prescription provided by your doctor. b. If you are requesting a device that doesn’t match the medical guidelines of the prescription, a revision of equipment or prescription is needed in order to accommodate the needs of the patient. This can produce changes in cost. a. If there is no billing information on the contract, the contract is not complete and will not be processed until the information is received. b. We will provide a cost estimate upon request. Estimates are subject to change based on the final order from the physician, total battery requirements, final shipping costs (according to date of contract completion), and actual rental timeframes. If you have requested a next day/overnight or rush delivery, please note that FedEx has a 3-5% failure rate for such orders. No overnight service is without error. By signing these rental forms, you fully understand this fact. Furthermore, regardless of the airline that referred you to OxygenToGo®, you can select any vendor of your choice. You are not required to rent from OxygenToGo® but do so in an elective manner. c. Shipping services and fees depend on when we receive the complete rental. Customer Signature Customer Name Printed Phone: ~AGREED TO BY CREDIT CARDHOLDER (if not patient or customer): Cardholder Signature Backup Fax: ▇▇▇-▇▇▇-▇▇▇▇ or Email: ▇▇▇▇@▇▇▇▇▇▇▇▇▇▇.▇▇▇ C ancellation Policy I. C ancellation Prior to shipping: a. If cancelled 8 days or more prior to our ship date, 50% of rental charges returned. b. If cancelled 2-7 days prior to our ship date, 33% of rental charges returned. c. If cancelled 24 hours or less prior to the next business day of pickup by FedEx, patient, or patient representative, full charges apply. This includes cancellation(s) done by the customer, hospital, or any representative of the patient. No exceptions and the day of shipping is at OxygenToGo's discretion, according to the delivery date requested.

Billing Terms. OxygenToGo® will charge your credit card for the expected rental period to confirm your reservation. OxygenToGo® will charge your credit card again with the actual shipping costs when we send it out to you. OxygenToGo® will also charge customer for return shipping upon return of unit. a. Devices are selected based on the prescription provided by your doctor. *Most can’t sleep with a Pulse Only POC/Oxygen device. Speak to an OxygenToGo® representative with questions. b. If you are requesting a device that doesn’t match the medical guidelines of the prescription, a revision of equipment or prescription is needed in order to accommodate the needs of the patient. This can produce changes in cost. a. If there is no billing information on the contract, the contract is not complete and will not be processed until the information is received. b. We will provide a cost estimate upon request. Estimates are subject to change based on the final order from the physician, total battery requirements, final shipping costs (according to date of contract completion), and actual rental timeframes. If you have requested a next day/overnight or rush delivery, please note that FedEx UPS has a 3-5% failure rate for such orders. No overnight service is without error. By signing these rental forms, you fully understand this fact. Furthermore, regardless of the airline that referred you to OxygenToGo®, you can select any vendor of your choice. You are not required to rent from OxygenToGo® but do so in an elective manner. c. Shipping services and fees depend on when we receive the complete rental. Customer Signature Customer Name Printed Phone: ~AGREED TO BY CREDIT CARDHOLDER (if not patient or customer): Cardholder Signature Backup Fax: ▇▇▇-▇▇▇-▇▇▇▇ or Email: ▇▇▇▇@▇▇▇▇▇▇▇▇▇▇.▇▇▇ C ancellation Policy I. C ancellation Prior to shipping: a. If cancelled 8 days or more prior to our ship date, 50% of rental charges returned. b. If cancelled 2-7 days prior to our ship date, 33% of rental charges returned. c. If cancelled 24 hours or less prior to the next business day of pickup by FedEx, patient, or patient representative, full charges apply. This includes cancellation(s) done by the customer, hospital, or any representative of the patient. No exceptions and the day of shipping is at OxygenToGo's discretion, according to the delivery date requested.▇

Billing Terms. OxygenToGo® will charge your credit card for the expected rental period to confirm your reservation. OxygenToGo® will charge your credit card again with the actual shipping costs when we send it out to you. OxygenToGo® will also charge customer for return shipping upon return of unit. a. Devices are selected based on the prescription provided by your doctor. b. If you are requesting a device that doesn’t match the medical guidelines of the prescription, a revision of equipment or prescription is needed in order to accommodate the needs of the patient. This can produce changes in cost. a. If there is no billing information on the contract, the contract is not complete and will not be processed until the information is received. b. We will provide a cost estimate upon request. Estimates are subject to change based on the final order from the physician, total battery requirements, final shipping costs (according to date of contract completion), and actual rental timeframes. If you have requested a next day/overnight or rush delivery, please note that FedEx has a 3-5% failure rate for such orders. No overnight service is without error. By signing these rental forms, you fully understand this fact. Furthermore, regardless of the airline that referred you to OxygenToGo®, you can select any vendor of your choice. You are not required to rent from OxygenToGo® but do so in an elective manner. c. Shipping services and fees depend on when we receive the complete rental. Customer Signature Customer Name Printed Phone: :( ) - ~AGREED TO BY CREDIT CARDHOLDER (if not patient or customer): Cardholder Signature Backup Fax: ▇▇▇-▇▇▇-▇▇▇▇ or ▇▇▇-▇▇▇-▇▇▇▇ Email: ▇▇▇▇@▇▇▇▇▇▇▇▇▇▇.▇▇▇ C ancellation Policy I. C ancellation Prior to shipping: a. If cancelled 8 days or more prior to our ship date, 50% of rental charges returned. b. If cancelled 2-7 days prior to our ship date, 33% of rental charges returned. c. If cancelled 24 hours or less prior to the next business day of pickup by FedEx, patient, or patient representative, full charges apply. This includes cancellation(s) done by the customer, hospital, or any representative of the patient. No exceptions and the day of shipping is at OxygenToGo's discretion, according to the delivery date requested.

Billing Terms. OxygenToGo® will charge your credit card for the expected rental period to confirm your reservation. OxygenToGo® will charge your credit card again with the actual shipping costs when we send it out to you. OxygenToGo® will also charge customer for return shipping upon return of unit. a. Devices are selected based on the prescription provided by your doctor. *Most can’t sleep with a Pulse Only POC/Oxygen device. Speak to an OxygenToGo® representative with questions. Pulse Only (5-7 lbs) must be clearly indicated on the RX supplied. If not, we can’t ship or we’ll ship you the default Continuous flow (20 lbs). b. If you are requesting a device that doesn’t match the medical guidelines of the prescription, a revision of equipment or prescription is needed in order to accommodate the needs of the patient. This can produce changes in cost. a. If there is no billing information on the contract, the contract is not complete and will not be processed until the information is received. b. We will provide a cost estimate upon request. Estimates are subject to change based on the final order from the physician, total battery requirements, final shipping costs (according to date of contract completion), and actual rental timeframes. If you have requested a next day/overnight or rush delivery, please note that FedEx UPS has a 3-5% failure rate for such orders. No overnight service is without error. By signing these rental forms, you fully understand this fact. Furthermore, regardless of the airline that referred you to OxygenToGo®, you can select any vendor of your choice. You are not required to rent from OxygenToGo® but do so in an elective manner. c. Shipping services and fees depend on when we receive the complete rental. Customer Signature Customer Name Printed Phone: ~AGREED TO BY CREDIT CARDHOLDER (if not patient or customer): Cardholder Signature Backup Fax: ▇▇▇-▇▇▇-▇▇▇▇ or Email: ▇▇▇▇@▇▇▇▇▇▇▇▇▇▇.▇▇▇ C ancellation Policy I. C ancellation Prior to shipping: a. (If cancelled 8 days or more prior to our ship date, 50% of rental charges returned. b. If cancelled 2-7 days prior to our ship date, 33% of rental charges returned. c. If cancelled 24 hours or less prior to the next business day of pickup by FedEx, patient, or patient representative, full charges apply. This includes cancellation(s) done by the customer, hospital, or any representative of not the patient. No exceptions and the day of shipping is at OxygenToGo's discretion, according to the delivery date requested.) *****PULSE FLOW REQUESTS MUST HAVE “PULSE FLOW” NOTED ON RX*****