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As a user I love paypal because it is really, really easy to end a subscription and there is nothing, whatsoever, the merchant can do about it.

Does Paypal still have the restriction that if you use them for credit card processing, you must also offer a Paypal checkout? Offering Appointment Reminder though standard PayPal seems like a giant additional headache.

I'd never heard of Spreedly! Thank you for pointing that out: it makes this project just the tiniest bit more likely to replace my day job. :)