Products Price Quantity Total

Products		Price	Quantity	Total
66 Day Program with microdosing 66 Day program with microdosing AND includes one more bonus coach call (valued at $500)	$999.00	1	$999.00
Subtotal			$999.00

66 Day Program with microdosing

66 Day program with microdosing AND includes one more bonus coach call (valued at $500)

$999.00

Subtotal $999.00

Billing Information

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* Last Name

Company Name

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Address - Line 2

* City

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Payment Plans
Single payment of $999.00 2 payments of $555.00 3 payments of $366.00

Payment Plans

Single payment of $999.00

2 payments of $555.00

3 payments of $366.00

Order Summary

Subtotal $999.00

Order total $999.00

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