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2. Account Information
3. Payment

	Product	Type	Total
	Counseling In Motion	Single	$30

Cart Subtotal: $30

If you are a couple who needs to file and take this counseling jointly, please click the back arrow and purchase the Online Counseling Session (Joint/Couple).

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First Name

Last Name

Address

City / Town

County

State

Zip

Phone

E-Mail

Attorney

Attorney (if other)

Attorney E-mail (if other)

Employer (if any)

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Operations	Result
Cart Subtotal	$30
Promo Code
Total	$30

Note: We recommend using a DEBIT card for purchasing counseling or bankruptcy classes.

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