Schedule Appointment with Choose Again

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Notes to Business (your address or any special notes about your order)

Item	Quantity	Total
Pay it Forward - Introductory 3 Circle gift package		CA$60.00
Total: CA$60.00	Coupon:

Credit Card Payment Authorization

You authorize charges to your credit card for the above noted package. You will be charged the amount indicated.

Autopay packages: You authorize regular scheduled monthly charges. You agree that no prior-notification will be provided unless the date or amount changes, in which case you will receive a notice from us at least 30 days prior to payment being collected. Cancellations after the minimum subscription period must be sent via email to info@choose-again.com 30 days prior to the regular scheduled monthly payment date.