CREDIT CARD PAYMENT AUTHORIZATION

By filling out this form you are authorizing Magu Health LLC. To acquire monthly charges from your Credit Card. You will be charged in the amount of $89.00 for each Subscription each billing period a receipt of each payment will be provided to you and charges will appear on your Credit Card Account Statement. You agree that no prior-notification will be provided unless the date or amount changes. in which case you will receive notice from us at least 10 days prior to the payment being collected.
New Subscriber Contact Information
Billing Information
Shipping Details
Credit Card Information