Payments Make a payment on your account using the below form.Your DetailsName* First Last CompanyEmail* Phone*Invoice DetailsClinic LocationThe Cooper Clinic – Royal OakThe Cooper Clinic – TakaniniThe Cooper Clinic – North ShoreInvoice Number / Description*Amount*Payment Amount (Including 3% credit card processing fee)* Price: $ 0.00 Credit Card Card Details Cardholder NameTotal $ 0.00 EmailThis field is for validation purposes and should be left unchanged.
