Checkout - Able Digital Wellness

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Your Details

First Name:
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Last Name:
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Email:
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Password:
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Phone:
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T-shirt Size (only applicable if you’re purchasing a bundle with your membership):
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Date of Birth:
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How did you hear about Able Digital Wellness?
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Do you reside in shared Disability Housing or similar?
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If so, what is the name of your Disability Housing provider?
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We’re requesting this information so we can provide you content that is more personalised for your mobility level …
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To further tailor your content as best we can, please share your disability(s) with us in any format you like …
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Support Coordinator Name:
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Support Coordinator Email:
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Support Coordinator Phone:
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I have read and agree to the terms and conditions of use for my membership and use of abledigitalwellness.com.au material[MM_Form_Field type=’custom’ id=’14’ isRequired=’true’ class=’checker’]

Go To Billing Details

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Billing Details

Credit Card:
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Security Code:
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Expiration Date:
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Billing/Shipping Address

Address:
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City:
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State:
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Zip:
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Country:
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Shipping Address

Shipping Method:
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Shipping is the same as billing
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Address:
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City:
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State:
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Zip :
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Country:
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Coupons

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Apply Coupon

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Your Purchase includes …

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  Product Price:$66 for your Membership to be billed again 1 year from today.
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- [MM_Order_Decision productId=’2′]
  Product Price:$66 for your Membership to be billed again 1 year from today.
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- [MM_Order_Decision productId=’3′]
  Product Price:$400 one off payment + $66 for your Membership to be billed again 1 year from today.
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- [MM_Order_Decision productId=’4′]
  Product Price:$800 one off payment + $66 for your Membership to be billed again 1 year from today.
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- [MM_Order_Decision productId=’5′]
  Product Price:$400 one off payment + $66 for your Membership to be billed again 1 year from today.
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- [MM_Order_Decision productId=’6′]
  Product Price:$800 one off payment + $66 for your Membership to be billed again 1 year from today.
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- Shipping Price: [MM_Form_Data name=’shippingPrice’]

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- Discount: [MM_Form_Data name=’discount’]

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Total Price: [MM_Form_Data name=’totalPrice’]

[MM_Member_Decision isMember=’true’][MM_Form_Field type=’input’ name=’gift’] Is this a gift?

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