To use the payment calculator on your website for FREE, please fill out the form below and you will receive a small piece of HTML/Javascript code (in text format) via email which can be easily placed directly into your website.

Tell your webmaster to place this code on the page of your choice in your publicly accessible website. If there is not enough room, consider building a separate page for the calculator on your site.

Please see the Terms & Conditions before submitting your request.

Website :

I want my calculator to display :

No Interest Payment Plans for : 12 18 24 Months
Extended Plans :
Calculator :
Procedure :



Terms & Conditions

  1. You agree to use the payment calculator code ONLY on one website, the website specified on the form.
  2. You agree NOT to modify the code provided in any way.
  3. You agree to use the calculator ONLY on publicly accessible pages of your website.
  4. You understand that failure to comply with any of the rules above may result in legal action against you.
  5. You acknowledge that ChaseHealthAdvance reserves the right to modify, remove, or discontinue the payment calculator code at any time without notice.
  6. Disclaimer of Warranty: There is no warranty for the payment calculator. It is provided "as is" without warranty of any kind, either expressed or implied.
  7. Limitation of liability: In no event shall Chase be liable to you for damages, including any general, special, incidental or consequential damages arising out of the use or inability to use the payment calculator.