Products Price Quantity Total

Products		Price	Quantity	Total
2015 - Powerful Words Setup / Activation Fee	$499.00	1	$499.00
	Powerful Words Gold Level Membership 1 Location License 30 days free, then $199.00 / month	$199.00 $0.00	1	$0.00
Subtotal			$499.00

2015 - Powerful Words Setup / Activation Fee

$499.00

Powerful Words Gold Level Membership 1 Location License

30 days free, then $199.00 / month

$199.00

$0.00

Subtotal $499.00

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Subtotal $499.00

Order total $499.00

Order Summary
Subtotal	$499.00
Order total	$499.00
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I authorize Powerful Words Character Development, LLC to charge me for the above total. I further affirm that the name and personal information provided on this form are true and correct.

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I understand that should I choose to cancel my Powerful Words License/Subscription, I might NOT be permitted to re-join at a later date.