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Luxury Content Experience Order Form
9
Questions
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1
Name
*
This field is required.
First Name
Last Name
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2
Email
*
This field is required.
example@example.com
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3
Phone Number
*
This field is required.
Please enter a valid phone number.
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4
Do you give Tamany Hall LLC permission to text you at this number?
*
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YES
NO
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5
What city and state do you reside in?
*
This field is required.
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6
Please indicate your top 3 date preferences for your Luxury Content Experience
Note: We do not hold the Luxury Content Experience on the weekends
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7
Mandatory Reservation Fee
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( X )
My Bag
1
My Bag
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
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ORDER SUMMARY
Total cost
USD
Luxury Content Experience Reservation Fee
This will apply towards your final payment
$
1,000.00
+
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Payment Methods
Credit Card
First Name
Last Name
Cash App
After submitting the form, you will be redirected to the Cash App Pay to complete the payment process.
Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
ACH Bank Transfer
Account Holder Name
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8
Payment Preference
*
This field is required.
Would you prefer to pay your full amount all at once or split your payments for a small fee?
Please Select
1 Payment
3 Payments
5 Payments
Please Select
Please Select
1 Payment
3 Payments
5 Payments
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9
I understand that this form acts as an interim contract between myself and Tamany Hall LLC. By submitting this form, I am agreeing to to set forth the terms and conditions upon which the Coordinator will coordinate and assist in the creation, over a one (1) or three (3) day period in North Texas, of social media content & lead generation coaching services for Client, more specifically set out in Schedule A as the Luxury Services - full contract to follow.
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