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First Name
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Last Name
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Phone
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Notes to Business
(your address or any special notes about your order)
Item
Quantity
Total
Option #1: $75 p/mo ($500 down)
x $75.00
$575.00
$500.00 initial setup plus $75.00 per month for 12 months ($1,400.00 total)
Total:
$575.00