Products Price Quantity Total

Products		Price	Quantity	Total
UCA Membership Unified Caring Association (UCA) Monthly Membership $15.00 / month	$15.00	1	$15.00
Subtotal			$15.00

UCA Membership

Unified Caring Association (UCA) Monthly Membership

$15.00 / month

$15.00

Subtotal $15.00

Membership Fees are charged monthly. If you are not completely satisfied, simply e-mail [email protected] or phone 1-844-341-8222 to cancel at any time.

Billing Information
* First Name
* Last Name
Company Name
* Address - Line 1
Address - Line 2
* City
State
* Zip Code
* Country
* Phone Number
* Email Address

Order Summary
Subtotal	$15.00
Order total	$15.00
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