Products Price Quantity Total

Products		Price	Quantity	Total
HPV Priority Solution	$11,997.00	Update	$11,997.00
Subtotal			$11,997.00

HPV Priority Solution

$11,997.00

Update

$11,997.00

Subtotal $11,997.00

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* Address - Line 1
Address - Line 2
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Shipping is the same as billing

Payment Plans
Single payment of $11,997.00 3 payments of $4,000.00

Payment Plans

Single payment of $11,997.00

3 payments of $4,000.00

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Card type	Card number	Expiration Date	CVC

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