Training Session Order Form

Samaritan

$500

This package is a one-time cost of $500. After check out, you will schedule a thank you call with Eric to discuss how to access your bonuses.

This package includes:

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SMART Account Required

To get started, please enter the email you use to log into smart(Required)

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Name

First Name Last Name

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Phone

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Hi… We are glad to get you started. In order to verify your identity, we can either email or text you a verification code.

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Text to: [validated_icm field=masked_phone_mobile]

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Please enter the code you received to verify your identity:(Required)

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Please confirm your contact information below:(Required)

Email(Required)

Phone(Required)

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Use the payment method on file?(Required)

New Card

Credit Card

American Express

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

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