Products Price Quantity Total

Products		Price	Quantity	Total
	Values-Based Quality of Life Newsletters Please select your quantity and payment option:	$400.00	1	$400.00
Subtotal			$400.00

Values-Based Quality of Life Newsletters

Please select your quantity and payment option:

$400.00

Subtotal $400.00

Please choose one of the options in the drop-down above. *Please Note - You can choose to pay the Annual Investment up front which includes all customization fees, shipping fees, taxes etc. The remainder of your investment will be processed after your customization email is sent to you.

Or, you may choose to do a monthly payment option with first and last month due up front with remaining payments set up for the 1st of the month for 10 months – Please note it is an annual commitment.

*You may also call 619-255-4888 or email operations@billbachrach.com to order your Newsletters.

After your order is placed, you will be contacted by our customization expert to assist you in fully customizing your Newsletter!

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 $400.00

Order total $400.00

Order Summary
Subtotal	$400.00
Order total	$400.00

Payment Information
Credit card
Card type	Card number	Expiration Date	CVC

Payment Information

Credit card

Card type

Card number

Expiration Date

CVC

Place Order