Thank you for being such a valuable supporter and contributor to our mission.
Your financial support will continue to help us share this life changing and potentially life saving information with millions of people all over the world.
As a special gift for your generosity, you have been given the opportunity to “pay it forward” and provide everything you purchased from us as a gift to a special person in your life.
Please complete the form below and click the “green submit button.”
Once you have completed this form and clicked submit, our customer service team, will verify your purchase and contact your loved one and will include you in the communications.
YOUR FIRST NAME
YOUR LAST NAME
YOUR EMAIL ADDRESS
DATE OF PURCHASE (APPROXIMATE IS OKAY)
MM slash DD slash YYYY
RECIPIENT OF YOUR GIFT'S FIRST NAME
RECIPIENT OF YOUR GIFT'S LAST NAME
RECIPIENT OF YOUR GIFT'S EMAIL ADDRESS
MESSAGE TO YOUR GIFT RECIPIENT
(you may customize this message but we included a sample message that you can modify)
Please note: if you have purchased a 2nd buddy pass then you must submit this form twice.
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