Elements Account Payment

Hello Retail Staff, Please read Below, it's Very Important we get this right!

There are 2 important steps for payments from Aged Care customers.

Process the Details on this Elements Form below, all details are automatically sent to the Elements Admin team to process payments after you press submit.
Receive payment and process as a Elements Aged Care Payment as a transaction on the register.

Thank You

Todays Date *

Name of Resident *

Name of Person paying

Phone Number of Person making payment

Elements Account Number *

Amount Paid *

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