Good Shepherd Insurance

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1

Customer Information

First Name

Last Name

Email Address

Phone Number

2

Shipping Address

Street Address

Apartment, Suite, etc. (optional)

City

State

ZIP Code

Country

Save this address for future orders

Billing address same as shipping

3

Payment Method

Credit / Debit Card

PayPal

Apple Pay

Card Number

Expiration Date

Security Code (CVV)

Name on Card

4

Review & Place Order

I agree to the Terms and Conditions and Privacy Policy

Order Summary

1 Item

Product

Maxicare LifesavER

Variants: Regular

1 × ₱2299.00

Subtotal ₱2299.00

Shipping ₱59.00

Tax ₱5.00

Total ₱2363.00

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