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for payment, I acknowledge acceptance of the
Privacy Statement. I also agree to waive any
charge-back rights and in the
event of a dispute,
request for a refund must be submitted in writing
along
with all order documentation in accordance
with standard policy of
company issuing credit card.
I further acknowledge all information to
be true and correct.
Submitting this form is not a receipt for payment
nor will your credit card
be charged you basically
submit your information to our Billing Department.
Payment will be initiated based on the
information provided. Receipt will
be the successful
charge on your credit card which will be reflected
on
your credit card statement. |