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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:
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60 credits - $60
105 credits - $100
320 credits - $300
550 credits - $500
 

 

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