STOP
Sign up for automatic payments
billed every three (3) months.  

Before the 10th of the month in which the bill is DUE.
!
To Sign up for recurring payments, your account must be paid to
date.  Delinquent accounts are subject to collection procedures.
YOUR Account Number and Service Address are
necessary to ensure credit the proper account.
Selecting this option will
automatically charge
your credit card $140.00
every three months.
Account Number
Service Address:
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Pine Grove Joint Treatment Authority
Pine Grove, Pennsylvania 17963                               Phone: 570-345-6433    
*Schuylkill County*                                               Fax: 570-345-4262
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Copyright © Pine Grove Joint Treatment Authority
All Rights Reserved.
!
Please use the links below IF you have more than one unit PER account
number and would like to sign up for subscription billing.
 Selecting this option
will charge your credit card $140.00
x # of units selected every three months.  To sign
up for this service, your account must be paid to date.  Sign up for this option
After you
have received your bill
and PRIOR to the Due Date.  
The Pine Grove JTA reserves the right to reject or refund a subscription plan and/or payment for reasons which will be
detailed in the return.  

Should you have questions, concerns, or comments, please contact our office prior to taking action on payments,
subscriptions, cancellations, or disputes by calling 570-345-6433  ext 0 or by sending an e-mail to: pgjta@comcast.net

Thank you.
Multiple Unit = 3
Account # & Service Address
Multiple Unit = 2
Account # & Service Address
Multiple Unit = 4
Account # & Service Address
Multiple Unit = 5
Account # & Service Address
Multiple Unit = 6
Account # & Service Address
----------------------- Multiple Units on ONE Account? ....  Choose from one of the following links below   ---------------------
Do you have Multiple Units
on ONE Account? ...
See links below for recurring payment
options below
Please note,
IF you already have a subscription account, you MUST cancel your subscription and then subscribe using one of the links below.