DEPOSIT USING CREDIT CARD

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**PACIFIC ACCOUNT NUMBER** 

NUMBERS ON CREDIT CARD- FROM LEFT TO RIGHT 

3 DIGIT SECURITY CODE 

EXPIRATION DATE 

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AMOUNT TO BE CHARGED: $

FOR ALL CREDIT CARD DEPOSITS, PLEASE CALL 888-494-9814 AFTER SUBMITTING REQUEST

CREDIT CARD FRAUD WILL BE PROSECUTED TO THE FULLEST EXTENT OF THE LAW!

    AFTER SUBMITTING YOUR DEPOSIT INFORMATION ESTABLISHING YOUR ACCOUNT, PLEASE PHONE US TOLL FREE AT 888-332-9003 TO ATTAIN YOUR ACCOUNT NUMBER AND PASSWORD. BY SUBMITTING YOUR CREDIT CARD INFORMATION, YOU AGREE THAT THE TRANSACTION IS A LEGAL AND BINDING CONTRACT.

UNDER THIS AGREEMENT, YOU AGREE THAT UNDER NO CIRCUMSTANCES DO YOU AGREE TO ANY TYPE OF CHARGE BACK, AT ANY, TIME RELATING TO THIS CHARGE. BY SUBMITTING THIS CONTRACT, YOU AGREE THAT YOU ARE AT LEAST 21 YEARS OF AGE.

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