Reimbursement, Gift Requests,  and New Orders 

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Directions:

Please start with filling out step 1. We will confirm with you once you have finished out filling out Step 1.

Step 1

Fill out the form below first. 

Request Form Click Here

Step 2

 ​Once the office receives your request from STEP 1, we'll contact you regarding your requests for confirmation. 
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Check out our Customer Reimbursements

Customer Accessories Earned on the JTP Reimbursement

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