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Form ID

Order Information: PJS

Monthly Barn Supply Program

Number of Units Per Month *

Price: $58.00 per unit | Monthly Charge Amount: *

Sales tax may be added where applicable.

Credit Card Information

Card Type (check one): *

Credit Card Number *

Expiration Date *

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Recurring Payment Authorization

I authorize Novo Sano Solutions LLC dba Precision Equine Solutions to charge the credit card listed above for the monthly purchase of (PJS) Precision Joint Solution in the quantity listed above.

I understand and agree that:

• My credit card will be charged once every 30 days for the amount listed above.

• Applicable sales tax and shipping charges (if applicable) may be added to the monthly charge.

• This authorization allows Precision Joint Solution to store my credit card information securely on file and process recurring monthly charges.

• This authorization will remain in effect until canceled in writing by the cardholder.

• Cancellation requests must be received at least 7 days prior to the next billing date to prevent the next scheduled charge.

• If a payment is declined, Precision Joint Solution may attempt to process the payment again and may contact me for updated payment information.

Barn Group Discount Terms

Participation in the Barn Monthly Supply Program may include discounted pricing based on the number of participating horses within a barn.

If the number of participants within a barn changes and no longer qualifies for the group discount level, pricing may be adjusted accordingly.

Customers will be provided 30 days written notice prior to any pricing adjustments related to barn participation levels.

Cardholder Agreement

I certify that I am the authorized holder of the credit card listed above and that the information provided is accurate. I authorize Novo Sano Solutions LLC dba Precision Equine Solutions to charge my card in accordance with the terms outlined above.

Card holder Signature | Sign *

Printed Name *

Date *

Thank You!

Thank You for your information. Your Order will run soon and shipped to your stable

Have a great day!

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