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Regrow Medspa

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Notes to Business (your address or any special notes about your order)

Item	Quantity	Total
Bronze Membership	x $99.00	$178.00 $79.00 initial setup plus $99.00 per month for 12 months ($1,267.00 total)
Total: $178.00

By clicking the checkbox below, I consent "Regrow medical services LLC" to withdraw the monthly membership fee each month.