Your Program Price Quantity Total

Your Program		Price	Quantity	Total
$1: 30-day trial	$1.00	1	$1.00
Mentoring Program for Teens Video Lessons, Discussion Notes, and more! 30 days free, then $19.00 / month	$19.00 $0.00	1	$0.00
Subtotal			$1.00

$1: 30-day trial

$1.00

Mentoring Program for Teens

Video Lessons, Discussion Notes, and more!

30 days free, then $19.00 / month

$19.00

$0.00

Subtotal $1.00

IMPORTANT: I'm getting this program...

For MYSELF (I'm an educator, mentor, coach, etc.)
For MY TEEN (I'm a parent or gifting this to a teen)

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Total Billed Today

Subtotal $1.00

Order total $1.00

Total Billed Today
Subtotal	$1.00
Order total	$1.00

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I agree to the terms & conditions and certify that I am an authorized user of this credit card and will not dispute payment. I understand I may cancel at any time by emailing team@brilliantpartners.com or calling 415-449-8787. After the 30-day $1 trial, we will charge the membership fee of $19 on a monthly basis until you choose to cancel.

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