As you will see when you reach their pages, PayPal are very keen for you to open an account. You don’t have to, and some people are very cautious about doing something like this. In fact, though, it might be worth considering. It will speed up future transactions not just with Oxley Clinics but with the many other online shops that use PayPal. Having a PayPal account does not itself entail any costs. You pay, through your credit card, only for any purchases that you make.
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.... and remember to click on 'View Basket' at the top of the order page to checkout.