D U B E R

Welcome,
DEMO USER!


Insurance #: 0000****
Dr. Homo Sapiens

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Name

DEMO USER

Address

000 Somewhere Street

City, State

Nowhere, NW


Card #

**** **** **** ****

Expiration Date

01/20

CVV2 Code (on the back)

000


1 - HIV PReP ~ $200

Delivery ~ Free

Insurance ~ -$190

Total: $10