We are pleased to offer the convenience of EZ Pay. Please fill out the form below to enroll. You can also download the form here and email it us at office@countylineequine.com.

Here’s How It Works
When you are enrolled in EZ Pay, we automatically charge your credit card account to pay your bill. Your bill will be paid on time and automatically. You won’t have to worry about missing a payment if you are away on a business trip or vacation. You’ll continue to receive your monthly statement. If you feel there is a problem with your bill, simply call us at (815) 345-9544. You can always dispute a bill with us even if the bill was paid automatically—we are always here to listen. You can notify us in writing if you wish to discontinue EZ Pay at any time.

EZ Pay Authorization Agreement
I hereby authorize County Line Equine Practice to deduct funds from my credit card account listed below to pay my bills. I understand that these automatic payments may be cancelled if I notify County Line Equine Practice in writing prior to the next billing date.

  • Please type your name here. This will serve as your digital signature.
  • (3 digits on back of card)
  • MM/YY