Products Price Quantity Total

Products		Price	Quantity	Total
Brow Membership $69.00 / month for 12 months	$69.00	Update	$69.00
Subtotal			$69.00

Brow Membership

$69.00 / month for 12 months

$69.00

Update

$69.00

Subtotal $69.00

Billing Information
* First Name
* Last Name
Company Name
* Address - Line 1
Address - Line 2
* City
State
* Zip Code
* Country
* Phone Number
* Email Address

Order Summary
Subtotal	$69.00
Order total	$69.00
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Payment Information
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Credit Card Type	Credit Card Number	Expiration Date	Security Code

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RESCHEDULING:
We understand conflicts may happen. If you need to reschedule you may do so at least 48 hours prior to the session. You may reschedule 1 time per session (at no charge), any other reschedules will incur a $95 fee. If you do not show up for your session, your session is forfeited and you will be billed for a new session to reschedule.