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Credit Card payment by Fax

Please fill up thins form. Print it out from your printer and send by fax to our fax number in USA: +1-206-666-1795

By now your registration information has been sent to TubeNet already. The registration will show up online within few days afer this payment has been completed.

Card type
Card Number
The processing of faxed credit payments needs also a 3-digit security code that is shown at the signature field. Please refer to picture.

Security code 3-digits only
Expiration
Category
Company name
Your name
Email address
Fax number
Country
AmountEuro 295,-
Need an Invoice No Yes
If "Yes", Please
give address




email: info@tubenet.org
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