Midtown Family Wellness

Adult 12 Adjustment Package- 20% off Originally $995

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Description	Adult 12 Adjustment Package- 15% off Originally $995
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I authorize Midtown Family Wellness to debit the account listed hereon $845.00, & agree to perform the issuer obligations. I affirm that the information entered on this form is true and correct and further declare that I have read, understand and accept Midtown Family Wellness Terms as referenced in the [Terms of Use] link below.

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Midtown Family Wellness
1259 Monroe Dr. NE Atlanta, GA 30306
(404) 810-9099

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