I want these products

Group 1
Product 1	Small		Medium		Large		Ultra
Product 2	Small		Medium		Large		Ultra

Group 2
Product 3	Small		Medium		Large		Ultra
Product 4	Small		Medium		Large		Ultra

Total: X pieces, Y USD

I want to get them monthly for

1 month 3 months 6 months 12 months

My details are

Name Phone E-mail Address

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