Please download the following PDFs and email them to email@example.com with the subject “Account Application“
Download Insurance Form (required)
Download Account Application (required)
If this is a onetime order, you can just call us at 212-594-3001 and use a credit card. The customer service representative who answers will take your order.
Please note that there is a $60 a month minimum if a credit card is not on file. That fee is waived if a credit card is on file.