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Credit card number:
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Credit card expiration date:
Credit card billing address:
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Comments:
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  By signing this form I authorize the company "1st International 8669746453" to debit my credit card the amount of US dollars for the above order.
  The prices for credits are the following:
10 credits - $20
55 credits - $60
100 credits - $100
300 credits - $300
500 credits - $500
 

 

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