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Order Summary

INSTANT DEALS,TICKET MONSTER
VIP SAVINGS,EXPENSE TRACKER
DENTAL,PET CARE, LEGAL SERVICES
VISION,PHARMACY,DOCTORS ONLINE
VITAMINS, DIABETIC SUPPLIES
HEARING AIDS, HEALTH ADVOCATE
TELEDOC ($0 CONSULT)

$24.95/month
Total: $24.95/month
Billing Address
Billing address and phone number MUST match the information on your credit card statement.

*First Name:
*Last Name:
*Email:
*Address: 
Address 2: 
*City: 
*State:   
*Zip Code: 

Shipping Address
My Shipping Address is different than my billing address.
First Name:
Last Name:
Address: 
Address 2: 
City: 
State:    
Zip Code: 

PayPal
OR
Credit Card Information
Credit Card Type:    
Cardholder Name:
Card Number:
Expiration:

OR
Check Information
   
Please enter your Check Information (see sample check):

*Account Holder Name:
*Routing Number: (9 digits)
 
*Account Number: 
*Check Number:
*Account Type:
Bank Information:
*Bank Name:
*Bank City:
*Bank State:
Bank Zip Code:





Not available in FL, KS, UT, VT or WA.