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Assistant Change Fee
This is a one time add/change assistant fee. Please fill out the form completely in order to be approved.
$150.00
Contact Information
First Name
Last Name
Email Address
Email Confirmation
Phone Number
Email Address
Phone Number
New assistant's full name
New assistant's email
Old assistant's name (if applies)
Old assistant's email (if applies)
Confirm email
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[[cart_coupon.text]]
Coupon
Coupon
APPLY
Payment Information
Credit Card Number
*
:
[[cardNumberError]]
Expiration
*
:
[[cardExpiryError]]
CVV
*
:
[[cardCvcError]]
Zip Code
*
:
[[postalCodeError]]
Order Summary
Subtotal:
[[checkoutContext.order.invoice.subtotal | currency]]
Tax:
[[checkoutContext.order.invoice.tax | currency]]
Shipping:
[[checkoutContext.order.invoice.shipping | currency]]
Discounts:
-[[checkoutContext.order.invoice.discount | currency]]
Total:
[[checkoutContext.order.invoice.total | currency]]
[[subscriptionsByProductId[checkoutContext.order.invoice.items[0].product_id].plan_description]]
Add/Change Assistant Now