SECURE ORDER FORM

Rejüventions

Rejüventions

1

Payment Options

Rejüventions - Pay in Full (Save $125)
$
2500.00
Rejüventions - 3 Payments of $875
$
875.00

2

Contact Information

3

Billing Information

4

Billing Information

[[cardNumberError]]
[[cardExpiryError]]
[[cardCvcError]]
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Order Summary

Subtotal:
[[checkoutContext.order.invoice.subtotal | currency]]
Tax:
[[checkoutContext.order.invoice.tax | currency]]
Shipping:
[[checkoutContext.order.invoice.shipping | currency]]
Discounts:
-[[checkoutContext.order.invoice.discount | currency]]
Total:
[[checkoutContext.order.invoice.total | currency]]
[[subscriptionsByProductId[checkoutContext.order.invoice.items[0].product_id].plan_description]]

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