Step 1: Billing Information
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First Name
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Last Name
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Email
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Phone
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Address
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City
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Select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
D.C.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Mexico
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New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
(AU) Australian Capital Territory
(AU) New South Wales
(AU) Victoria
(AU) Queensland
(AU) Northern Territory
(AU) Western Australia
(AU) South Australia
(AU) Tasmania
(ZA) Gauteng
(ZA) Western Cape
(ZA) Eastern Cape
(ZA) KwaZulu Natal
(ZA) North West
(ZA) Northern Cape
(ZA) Mpumalanga
(ZA) Free State
My State is not listed
State
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Zip Code
Step 2: Payment Information
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Name On Card:
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Card Number
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1
2
3
4
5
6
7
8
9
10
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Expiration Month
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2018
Expiration Year
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CVC
Step 3: Plan Information (check one box)
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I would like to pay for my plan monthly (check box).
Comprehensive Individual
$6 - Paid Monthly
Automatic renewal monthly at $6.00
Quantity
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I would like to pay for my plan annually (check box).
Comprehensive Individual
$72 - Paid Annually
Automatic renewal annually at $72.00.
Quantity
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Submit Payment
After payment submission, you will receive activation instructions via email. Your account will not be active until this step has been completed.
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