Request Monthly Payments – Zing Performance

Monthly Payment Request

Fill out this form and we’ll send you the steps to register for monthly payments (US only).

Zing Performance is available with convenient monthly payments. It’s a simple, all digital process. You’re guaranteed approval with no credit check or paperwork.

Name*

First Last

Social Security Number*

Date of Birth*

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Referring Doctor/Clinic

Hidden

Coupon

This Zing Program is for*

Myself

My child/Someone else

Which program are you enrolling in?*

General Adult

Sports Oriented

Zing User's Information

User's Name*

First Last

User's Date of Birth*

Which program is this user enrolling in?*

Child (7-12)

Teenager (13-18)

General Adult

Sports Oriented