MediPoint | Checkout

YOUR CHECKOUT PROGRESS

1 Checkout Method

CHECKOUT AS A GUEST OR REGISTER

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Checkout as Guest
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Easy access to your order history and status

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2 Billing Information

*First Name
*Middle Name/Initial
*Last Name
Company
*Email Address
*Password
*Address
*City
*State/Province
*Zip/Postal Code
*Country
*Telephone
*Fax

Ship to this address
Ship to different address

3 Shipping Information

*First Name
*Middle Name/Initial
*Last Name
Company
*Email Address
*Password
*Address
*City
*State/Province
*Zip/Postal Code
*Country
*Telephone
*Fax

Use Billing Address

4 Shipping Method

Flat Rate

Fixed $5

5 Payment Information

Check / Money order
Credit Card (saved)

*Name on Card
*Credit Card Type
*Credit Card Number
*Expiration Date
*Card Verification Number

What is this?

6 Order Review

Product Name	Price	Qty	Subtotal
Suspendisse potenti	$200.00	2	$400.00

Subtotal
Shipping & Handling (Flat Rate - Fixed)
Grand Total

$400.00
$5
$227.00

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