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Parent 1

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Last Name

Email

Phone Number

Parent 2

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Last Name

Email

Phone Number

Student

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Email

Phone Number

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$ 1.00

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Your Items

		Product	Price	Quantity	SubTotal
		Upgrade Membership	$1.00	1

Cart totals

SubTotal	$ 1.00
Sales Tax	$ 0.00
Transaction Fees	$0.18
Total	$1.18

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