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| Single Item | 5 | $641.60 |
| Single Item user defined | 1 | $256.64 |
| Multiple Items – First Item | 1 | $10.10 |
| Multiple Items – Second Item | 1 | $25.23 |
| Multiple Items – Third Item | 1 | $50.50 |
| Checkbox Items – First Item | 1 | $10.00 |
| Checkbox Items – Second Item | 1 | $25.00 |
| Checkbox Items – Third Item | 1 | $50.00 |
| Checkbox Items image choices modern – First Item | 1 | $10.00 |
| Checkbox Items image choices modern – Second Item | 1 | $25.00 |
| Checkbox Items image choices modern – Third Item | 1 | $50.00 |
| Checkbox Items image choices classic – First Item | 1 | $10.00 |
| Checkbox Items image choices classic – Second Item | 1 | $25.00 |
| Checkbox Items image choices classic – Third Item | 1 | $50.00 |
| Dropdown Items classic – First Item | 1 | $10.00 |
| Dropdown Items classic – Second Item | 1 | $25.00 |
| Dropdown Items classic – Third Item | 1 | $50.00 |
| Dropdown Items modern – First Item | 1 | $10.00 |
| Dropdown Items modern – Second Item | 1 | $25.00 |
| Dropdown Items modern – Third Item | 1 | $50.00 |
| Subtotal | | |
| | |
| Total | | $908.24 |