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ReBuilder Medical

Rent-to-Own with No Credit Check

To apply for the Rent-To-Own program, with no credit check, we require that you have a prescription, a valid credit card and an active checking account. Please fill out the information below. We will place your order in queue and charge your credit card and checking account upon receipt of your prescription, as outlined on the previous page.. Your ReBuilderĀ® system will be shipped immediately following payment confirmation, and be delivered in the next few days. Your ReBuilder comes with complete, easy to follow directions for treatment, and full customer support by phone or e-mail (M-F, 8a-6p eastern). Use the system as instructed. If, at any time you decide you want to return the system, call us at 866-725-2202 to obtain your RMA number and return your ReBuilder system to us; we will stop taking payments immediately upon receipt of the return package, with no further obligation.

Act now to secure your spot!! This limited-time, promotional offer may end at any time, without notice.


Your billing Information

Please enter your first name.
Please enter your last name.
Please enter your address.
Please enter your city.
Please select your state.
Please enter your zip code.
Please enter your phone number.
Please enter your e-mail address.
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Your Credit Card Information

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Please enter your credit card number.
Please select expiration month.
Please select expiration year.
Please enter the CVV2 code.

Your Bank Account Information

Please enter the routing number.
Please enter the account number.

By clicking 'Submit' you agree to furnish ReBuilder Medical with the required prescription documentation in a timely fashion, and to allow ReBuilder Medical to charge the applicable payments as outlined in the Rental Agreement.

Need Help?

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