Test Patient Starter Kit Orders with Sales Tax

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Please select.

Name

Practice Name

Street Address

City

State

Postal Code

Tax paid

Total with Tax

$0.00

Total summary

Item Quantity Total

There are no products selected.

Please select. – Patient Starter Kit (10) 1 $85.00

Please select. – Patient Starter Kits (25) 1 $200.00

Please select. – Application and Removal Guides (quantity based on Starter Kit Order) 1 $0.00

Please select. – Healthy Lens Habits Guides (10) 1 $0.00

Tax paid 1 $0.00

Subtotal

Total $0.00

$0.00

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