DTT&C Payment Form

Dream Team Temping & Consulting Payment

Thank you for utilizing this form to make a one-time, easy payment.

This form is for payments to the agency only.

*Your temp must be paid separately and payment for temps cannot be accepted by the agency or through this portal.

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1. Practice Name (Required.)

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2. Invoice Amount (Required.)

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3. Payment Amount (Required.)

$

Minimum amount: $25 USD

You’ll enter payment info after the survey.

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4. Invoice Date (Required.)

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5. Your Name (Individual authorized to make payments on behalf of the practice). *If you are not authorized to make payments, submit to your practice owner/manager. (Required.)