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* 1. How long do you want your subscription to last?

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* 2. Which Subscription Are You Purchasing?

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* 3. When purchasing LipSense please choose from the following.

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* 4. When would you like your subscription to begin?

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* 5. What is your shipping address? 
*Email Address will be used for invoicing

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* 6. IF DIFFERENT FROM SHIPPING ADDRESS...
What Is Your Billing Address? 

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* 7. By submitting this document I understand that I am signing up for a monthly subscription service that will be automatically billed every month on the 15th. 
I understand that I must give written notice by the 29th of the month if I wish to cancel my following months subscription. 
If I give notice after the 29th my cancellation ill go into effect the following month.
Please send cancelation notices to marissa@marissamaesayers.com

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