By signing this form, I authorize EnvRx to charge my credit card $249 for the first month's services, which include the doctor consultation, prescribed medication, and delivery costs. I understand that my card will be automatically charged $349 monthly thereafter until I cancel my subscription, which requires at least 7 days’ notice before the next billing cycle. I acknowledge that these services are not submitted for insurance claims and are non-refundable once rendered or shipped. I certify that I am an authorized user of this credit card and will not dispute the charges if they correspond to the terms outlined here. In the event of a billing error, I will contact support@EnvRx.com immediately to resolve the issue. I understand that all payments are processed securely and that EnvRx will not store or share my credit card information beyond what is necessary for billing purposes.