Lifted Academy

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Last Name

*Your email address serves as your username to access your training portal.

I was referred by:

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Billing Address

Address 2

City

Zip Code

MY ORDER

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PLEASE READ TO ENSURE YOU RECEIVE YOUR RECEIPT

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1) your email address is entered correctly,

2) andrea@liftedacademy.com and support@liftedacademy.com are in your contacts, and

3) our emails are not going to spam/promotions

PAYMENT OPTIONS

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Pay with Credit Card:

Name On Card

Card Number

CVC