Pay Here!

Please use the form below to make your payment. And CONGRATULATIONS on taking that first, important step towards a healthy lifestyle!

Payment Form - Please Enter your payment details and submit.

Your payment will be processed through PayPal's secure server.


Waiting for PayPal...
Validating payment information...
Waiting for PayPal...

Are You Ready to Quit?

REGISTER to Get a FREE Copy of "Ready to Quit Tobacco?" Today!

I will never give away, trade or sell your email address. You can unsubscribe at any time.

Powered by Optin Forms

Leave a Reply


Customize Your Quit
108 Fer de Lance Rd.
Salt Spring Island, BC V8K 1B1

cell: 250.931.3838
fax: 778.353.2015
skype: akpinbend
email: Anne Palmer, Founder


Enter your primary email address to get our free newsletter.
You can leave the list at any time. Removal instructions are included in each message.

Contact US

Your Name (required)


Your Message

Customize Your Quit 2014-2015