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Country / Region *Canada

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Province *British Columbia

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First name *

Last name *

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Country / Region *Canada

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Apartment, suite, unit, etc. (optional)

Town / City *

Province *British Columbia

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Your order

Product	Subtotal
PILES CAPSULE × 1	$10
Subtotal	$10
Shipping	Flat rate: $60
Total	$70

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