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Payments Authorization 　　 DownloadDownload a File
To Aaaoe.com/AAAOE CORP
  I purchased the services from Aaaoe.com/AAAOE CORP as:
1. Golden Crown Package with amount of USD_______________, Monthly Quarterly Yearly
2. Super Package with amount of USD_______________, Monthly Quarterly Yearly
3. Platinum Package with amount of USD__________, Monthly Quarterly Yearly
4. Golden Package with amount of USD_______________, Monthly Quarterly Yearly
5. Silver Package with amount of USD___________, Monthly Quarterly Yearly
6. Bronze Package with amount of USD_________________, Monthly Quarterly Yearly
7. KWIK & EZ Package with amount of USD____________, Monthly Quarterly Yearly
8. Promotion Package with prepayment of USD_________,
9. Email Promotion Package with amount of USD__________________,
10. Yellow Book Package yearly with amount of USD_______________,
11. Other______________________________________________________
   
Hereby, I authorize to make the payments to Aaaoe.com/AAAOE CORP
  · Credit Card Number: ___________________________

· Credit Card Type (Visa or Master): ___________________________

· Name on the Credit Card: ___________________________

· Expiration Date: ___________________________

· Card Code:___________________________
(The Card code is a 3 or 4-digit number usual found on the back of the credit card).
 
  • Address: ______________________________________________________________


  • State (Province): ____________, Zip Code: _____________, Country: ____________


  • Tell: ___________________________, fax: ___________________________,


  • Signature: ___________________, Printed name: _______________________


  • Date: _________/Month _________/Day _________/Year


  • Aaaoe Member ID: __________


I agree to fax the copy of both side of my credit card with this Authorization
   

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