UGC Layaway Payment Submission

UGC Layaway Payment Submission
Complete this payment form to start the layaway process for your kit. You may also make your additional payments from this page.

My Products

Full Name*

First NameLast Name
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Shipping Address (If same as billing leave blank)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
FINALIZE ORDER
Processing Agreement*

Yes, I agree that the above amount shall be charged by The Underground Cure to the credit card I provided.
Enter Your Initials To Confirm This Order*
Enter Today's Date To Confirm This Order*

MonthDayYear
Signature Required To Confirm Order (Use The Mouse or Finger)*

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PLEASE DOUBLE CHECK ALL INFORMATION BEFORE HITTING "SUBMIT ORDER"! ALL SALES ARE FINAL.
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