Subject: New Tally Form Submission for Order Form
From: Tally Forms <[email-masked]>
To: T B <[email-masked]>
Date: Fri, 24 Apr 2026 17:03:00 +0000 (UTC)

Name
Myranda Gibbons

Shipping Address
140 SW Columbia Ave UNIT 1325 Portland OR 97201

Email Address
[email-masked]

What products and quantity do you want?
GLP-3 12 MG (1 VIAL)

How would you like to pay for it?
Apple Pay