uo204
Contact Information
First Name *
Last Name *
Email *
Billing Address *
City *
State *
Postal Code *
Phone 1 *
Billing Address
Street Address 1 *
Street Address 2
City *
State *
Postal Code *
Country
Credit Card Information
Card Type *
Card Number *
Expiration Month *
Expiration Year *
CVC *
Product Purchase Plan
Thyroid Fix in 6 - Total Thrive Package: Fix your thyroid imbalance so that you can go to fewer doctors visits, eliminate symptoms and feel normal againAmt
1 Payment of $297.00
$297.00
Total amount of $107.00 charged today,
3 Payments of $0.00 remaining.
$107.00
Total Amount You Pay Right Now
Process
I have read and understand the terms of this agreement.
(Enter your initials)
Contact Information
First Name *
Last Name *
Email *
Billing Address *
City *
State *
Postal Code *
Phone 1 *
Billing Address
Street Address 1 *
Street Address 2
City *
State *
Postal Code *
Country
Credit Card Information
Card Type *
Card Number *
Expiration Month *
Expiration Year *
CVC *
Product Purchase Plan
Thyroid Fix in 6 - Total Thrive Package: Fix your thyroid imbalance so that you can go to fewer doctors visits, eliminate symptoms and feel normal againAmt
1 Payment of $297.00
$297.00
Total amount of $107.00 charged today,
3 Payments of $0.00 remaining.
$107.00
Total Amount You Pay Right Now
Process
I have read and understand the terms of this agreement.
(Enter your initials)
uo204
Contact Information
First Name *
Last Name *
Email *
Billing Address *
City *
State *
Postal Code *
Phone 1 *
Billing Address
Street Address 1 *
Street Address 2
City *
State *
Postal Code *
Country
Credit Card Information
Card Type *
Card Number *
Expiration Month *
Expiration Year *
CVC *
Product Purchase Plan
Thyroid Fix in 6 - Total Thrive Package: Fix your thyroid imbalance so that you can go to fewer doctors visits, eliminate symptoms and feel normal againAmt
1 Payment of $297.00
$297.00
Total amount of $107.00 charged today,
3 Payments of $0.00 remaining.
$107.00
Total Amount You Pay Right Now
Process
I have read and understand the terms of this agreement.
(Enter your initials)
Contact Information
First Name *
Last Name *
Email *
Billing Address *
City *
State *
Postal Code *
Phone 1 *
Billing Address
Street Address 1 *
Street Address 2
City *
State *
Postal Code *
Country
Credit Card Information
Card Type *
Card Number *
Expiration Month *
Expiration Year *
CVC *
Product Purchase Plan
Thyroid Fix in 6 - Total Thrive Package: Fix your thyroid imbalance so that you can go to fewer doctors visits, eliminate symptoms and feel normal againAmt
1 Payment of $297.00
$297.00
Total amount of $107.00 charged today,
3 Payments of $0.00 remaining.
$107.00
Total Amount You Pay Right Now
Process
I have read and understand the terms of this agreement.
(Enter your initials)
Contact Information
First Name *
Last Name *
Email *
Billing Address *
City *
State *
Postal Code *
Phone 1 *
Billing Address
Street Address 1 *
Street Address 2
City *
State *
Postal Code *
Country
Credit Card Information
Card Type *
Card Number *
Expiration Month *
Expiration Year *
CVC *
Product Purchase Plan
Thyroid Fix in 6 - Total Thrive Package: Fix your thyroid imbalance so that you can go to fewer doctors visits, eliminate symptoms and feel normal againAmt
1 Payment of $297.00
$297.00
Total amount of $107.00 charged today,
3 Payments of $0.00 remaining.
$107.00
Total Amount You Pay Right Now
Process
I have read and understand the terms of this agreement.
(Enter your initials)