"First Name" field is required.

"Last Name" field is required.

"Street Address" field is required.

"City" field is required.

"ZIP Code" field is required.

"State" field is required.

"Country" field is required.

"Cardholder Name" field is required.

"Card Number" field is required.

"Expiration Date" field is required.

"Expiration Date" field is required.

"Security Code" field is required.

"First Name" field is required.

"Last Name" field is required.

"Street Address" field is required.

"City" field is required.

"ZIP Code" field is required.

"State" field is required.

"Country" field is required.

"Cardholder Name" field is required.

"Card Number" field is required.

"Expiration Date" field is required.

"Expiration Date" field is required.

"Security Code" field is required.

Billing
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Credit Card
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From
The Advantage Group Advantage Group
43471 Ridge Park Drive, Suite B
Temecula, CA 92590
US
To
Aaron Stone
6600 Mason Rd
Manito, IL 61546
US
Date
December 14, 2022
Invoice Number
325265
Invoice Due
December 31, 2022
Invoice Total
$281.83
Balance
$281.83
  1. Task
    Rate
    Qty
    %
    Amount

    Direct Premium Billing November

    $273.62
    1
    -3%
    $281.83
Subtotal $281.83
Total $281.83

Notes

Thank you; we really appreciate your business.

Status Update
December 14, 2022 @ 9:35 pm

Status changed: Draft to Pending.

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