 In association with CC Network, Inc. |
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For removing the spending limit
| INSTRUCTIONS: 1. Print out this form, and write in the spaces those parts which you need to complete. 2. Telephone the number below that is closest to you:
Then dictate the message below exactly as printed, omitting the explanatory items in brackets (): |
| I, _______________________________________________
(full name), hereby confirm and swear that I am the actual authorized user of the following Screen Name that I use in the Live Webcams section of the Wasteland site, operated by CC Network, Inc. ____________________. I also hereby confirm and swear that I am the actual authorized user of the credit card ______________________________ (credit card #) which expires on _______________. The name on the credit card is _____________________________ The address where my credit card statements are mailed to is: ______________________________________________ ______________________________________________ ______________________________________________ (Full postal address including country) CONFIRMATION OF MY IDENTITY My date of birth is: ___________________________________________________________ My phone number is: (include area code)__________________________________________ My email address is: _________________________________________________________ I confirm that I have read, understood and agree to the Terms & Conditions as posted on the Live Webcams section of the Wasteland web site and confirm my wish to remove the credit limit to my Wasteland Live Webcams account. Voice signed ______________________________________________(full name)
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