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Billing Information

First Name
Last Name
Phone Number
Email
Billing Street
City
State
Billing Zip

Invoice Summary

  • Financial Wellness

    $2,250

  • Financial Wellness - 3 payments

    $950/mo

  • Open Invoice

Promo Code
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Order Total
$0.00

Note: Your card will need to be charged $0.01 to process this transaction successfully.

Start Date
No. of Payments

Payment Information

Card Number
Card Expiration Date (MMYY)
CVV
Routing Number
Account Number

Additional Information

Yes! The Fiscal Femme may contact me at the email address above.
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