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Payment Authorization

Billing.PaymentAuthorization History

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March 07, 2008, at 01:24 PM EST by Dave - Added fax number
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Please PRINT the following form and mail to:\\

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Please PRINT the following form and mail or FAX to:\\

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    Fairfax, VA 22030

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    Fairfax, VA 22030
FAX: 1-213-402-2459

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Fill in the following form to pay for your Sermons Online charges with your credit card. (Note: if you have a PayPal account, you must use a different credit card than the one you have assigned to PayPal.)

to:

Fill in the following form to pay for your Sermons Online charges with your credit card. (If you have a PayPal account assigned to your credit card, you must either pay via PayPal, or use a different credit card than the one you have assigned to PayPal.)

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PayPay Login Email

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PayPal Login Email

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Fill in the following form to pay for your Sermons Online charges with your credit card. (Note: if you have a PayPal account, you must use a different credit card than the one you have assigned to PayPal.)

to:

Fill in the following form to pay for your Sermons Online charges with your credit card. (Note: if you have a PayPal account, you must use a different credit card than the one you have assigned to PayPal.)

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(:stylesheet:) @media print { .instructions {display:none;} } (:stylesheetend:)

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@media print {

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(:table id=instructions bgcolor=#dfaae6 cellspacing=0 cellpadding=3:)

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(:table class="instructions" bgcolor=#dfaae6 cellspacing=0 cellpadding=3:)

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(:table bgcolor=#dfaae6 cellspacing=0 cellpadding=3:)

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(:stylesheet:) @media print { .instructions {display:none;} } (:stylesheetend:)

(:table id=instructions bgcolor=#dfaae6 cellspacing=0 cellpadding=3:)

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(:cellnr width=50% :) First Name (as it appears on card)

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(:cellnr colspan=5 width=100% :) Name (as it appears on card)

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(:cell colspan=3 width=50%:) Last Name

 
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(:table width=100%:)

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(:table bgcolor=#dfaae6 cellspacing=0 cellpadding=3:)

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(:title Automatic Payment Authorization:) (:cell align=right:) (:table bgcolor=#dfaae6 cellspacing=0 cellpadding=3:) (:cellnr:)

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(:table width=100%:) (:cellnr:)

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(:tableend:)

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(:table bgcolor=#dfaae6 cellspacing=0 cellpadding=3:)

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Note: You must PRINT the following form, then mail it to the address below.

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Please PRINT the following form and mail to:
    Sermons Online Billing
    10241 Stratford Ave
    Fairfax, VA 22030

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PayPal Payments\\

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Pay via PayPal Account\\

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Credit Card Payments\\

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Pay via Credit Card\\

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Mailing Instructions
PRINT this form, complete it, and mail to:

Sermons Online Billing
10241 Stratford Ave
Fairfax, VA 22030

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Mailing Instructions

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Mailing Instructions\\

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Note: You must PRINT the following form, then mail it to the address below. You cannot save any data typed on this form.

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Note: You must PRINT the following form, then mail it to the address below.

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Note: You must PRINT and complete the following form, then mail it to the address below.
You cannot save any data typed on this form.

to:

Note: You must PRINT the following form, then mail it to the address below. You cannot save any data typed on this form.

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Church Name

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Church Name

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Sermons Online Account ID

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Sermons Online Account ID

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PayPay Login Email

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PayPay Login Email

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PayPal Password

to:

PayPal Password

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Fill in the following form to pay for your Sermons Online charges with your credit card. (Note: if you have a PayPal account, you must use a different credit card than the one you have assigned to PayPal.)

to:

Fill in the following form to pay for your Sermons Online charges with your credit card. (Note: if you have a PayPal account, you must use a different credit card than the one you have assigned to PayPal.)

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Card type

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Card type

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Credit Card Number

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Credit Card Number

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Verification Number

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Verification Number

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Expiration Date

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Expiration Date

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First Name (as it appears on card)

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First Name (as it appears on card)

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Last Name

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Last Name

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Billing Address

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Billing Address

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City

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City

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State

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State

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Zip

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Zip

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Country

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Country

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Email Address (used to send receipt)

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Email Address (used to send receipt)

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Telephone Number (used with card)

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Telephone Number (used with card)

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I hereby authorize Sermons Online to use the above Billing Information to automatically pay for charges incurred by the Sermons Online service.

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I hereby authorize Sermons Online to use the above Billing Information to automatically pay for charges incurred by the Sermons Online service.

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Signature

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Signature

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Note: You must PRINT and complete the following form, then mail it to the address below. You cannot save any data typed on this form.

to:

Note: You must PRINT and complete the following form, then mail it to the address below.
You cannot save any data typed on this form.

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(:table bgcolor=#dfaae6 width=100% cellspacing=3 :) (:cellnr:) Note: You must PRINT and complete the following form, then mail it to the address below. You cannot save any data typed on this form. (:tableend:)

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(:table bgcolor=#dfaae6 width=100% cellspacing=3 :) (:cellnr:) Note: You must PRINT and complete the following form, then mail it to the address below. You cannot save any data typed on this form. (:tableend:)

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Church Name

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Church Name

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Sermons Online Account ID

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Sermons Online Account ID

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PayPay Login Email

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PayPay Login Email

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PayPal Password

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PayPal Password

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Card type

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Card type

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Credit Card Number

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Credit Card Number

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Verification Number

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Verification Number

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Expiration Date

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Expiration Date

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First Name (as it appears on card)

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First Name (as it appears on card)

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Last Name

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Last Name

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Billing Address

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Billing Address

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City

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City

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State

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State

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Zip

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Zip

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Country

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Country

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Email Address (used to send receipt)

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Email Address (used to send receipt)

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Telephone Number (used with card)

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Telephone Number (used with card)

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Signature

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Signature

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Church Name

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Church Name

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Sermons Online Account ID

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Sermons Online Account ID

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PayPay Login Email

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PayPay Login Email

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PayPal Password

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PayPal Password

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Card type

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Card type

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Credit Card Number

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Credit Card Number

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Verification Number

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Verification Number

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Expiration Date

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Expiration Date

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First Name (as it appears on card)

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First Name (as it appears on card)

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Last Name

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Last Name

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Billing Address

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Billing Address

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City

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City

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State

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State

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Zip

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Zip

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Country

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Country

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Email Address (used to send receipt)

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Email Address (used to send receipt)

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Telephone Number (used with card)

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Telephone Number (used with card)

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Signature

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Signature

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Note: You must PRINT and complete the following form, then mail it to the address below.
You cannot save any data typed on this form.

to:

Note: You must PRINT and complete the following form, then mail it to the address below. You cannot save any data typed on this form.

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Church Name

to:

Church Name

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Sermons Online Account ID

to:

Sermons Online Account ID

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Fill in the following form to pay for your Sermons Online charges with your PayPal account:

to:

Fill in the following form to pay for your Sermons Online charges with your PayPal account:

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(:cellnr width=50% :) PayPay Login Email

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(:cellnr width=50%:) PayPay Login Email

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PayPal Password

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PayPal Password

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Card type

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Card type

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Credit Card Number

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Credit Card Number

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Verification Number

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Verification Number

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Expiration Date

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Expiration Date

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First Name (as it appears on card)

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First Name (as it appears on card)

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Last Name

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Last Name

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Billing Address

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Billing Address

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City

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City

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State

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State

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Zip

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Zip

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Country

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Country

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Email Address (used to send receipt)

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Email Address (used to send receipt)

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Telephone Number (used with card)

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Telephone Number (used with card)

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Signature

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Signature

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PRINT this form, complete it, and mail to:

to:

PRINT this form, complete it, and mail to:

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Fill in the following form to pay for your Sermons Online charges with your PayPal account:

to:

Fill in the following form to pay for your Sermons Online charges with your PayPal account:

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to:
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Fill in the following form to pay for your Sermons Online charges with your credit card. (Note: if you have a PayPal account, you must use a different credit card than the one you have assigned to PayPal.)

to:

Fill in the following form to pay for your Sermons Online charges with your credit card. (Note: if you have a PayPal account, you must use a different credit card than the one you have assigned to PayPal.)

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I hereby authorize Sermons Online to use the above Billing Information to automatically pay for charges incurred by the Sermons Online service.

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I hereby authorize Sermons Online to use the above Billing Information to automatically pay for charges incurred by the Sermons Online service.

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PRINT this form, complete it, and mail to:

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PRINT this form, complete it, and mail to:

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Your Church Information

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Sermons Online Information

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Your Church Information

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Use this form to authorize automatic payment of your Sermons Online invoices via credit card or PayPal.

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(:title Sermons Online Automatic Payment Authorization:)

to:

(:title Automatic Payment Authorization:)

Use this form to authorize automatic payment of your Sermons Online invoices via credit card or PayPal.

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Please PRINT and complete the following form, then mail it to the address below.
You cannot save data typed on this form.

to:

Note: You must PRINT and complete the following form, then mail it to the address below.
You cannot save any data typed on this form.

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(:cellnr width=65% :)

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(:title Sermons Online Automatic Payment Authorization:)

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Please PRINT the following form and mail it to the address below.\\

to:

Please PRINT and complete the following form, then mail it to the address below.\\

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PayPal Payments
Fill in the following form to pay for your Sermons Online charges with your PayPal account:

to:

Sermons Online Information

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(:cellnr width=50% :) PayPay Login Email

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(:cellnr width=75% :) Church Name

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(:cell width=50% :) PayPal Password

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(:cell width=25% :) Sermons Online Account ID

Changed lines 25-27 from:

Credit Card Payments
Fill in the following form to pay for your Sermons Online charges with your credit card. (Note: if you have a PayPal account, you must use a different credit card than the one you have assigned to PayPal.)

to:

PayPal Payments
Fill in the following form to pay for your Sermons Online charges with your PayPal account:

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(:cellnr colspan=4 width=100% valign=top :) Card type

 (:input checkbox:) Visa(:input checkbox:) MasterCard(:input checkbox:) American Express(:input checkbox:) Discover

(:cellnr width=50%:) Credit Card Number

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(:cellnr width=50% :) PayPay Login Email

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(:cell colspan=2 width=25% :) Verification Number

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(:cell width=50% :) PayPal Password

Changed lines 37-38 from:

(:cell width=25% :) Expiration Date

to:

(:tableend:)

Credit Card Payments
Fill in the following form to pay for your Sermons Online charges with your credit card. (Note: if you have a PayPal account, you must use a different credit card than the one you have assigned to PayPal.)

(:table width=100% border=1px cellspacing=0 cellpadding=3 :) (:cellnr colspan=4 width=100% valign=top :) Card type

 (:input checkbox:) Visa(:input checkbox:) MasterCard(:input checkbox:) American Express(:input checkbox:) Discover

(:cellnr width=50%:) Credit Card Number

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(:cellnr width=50% :) First Name (as it appears on card)

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(:cell colspan=2 width=25% :) Verification Number

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(:cell colspan=3 width=50%:) Last Name

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(:cell width=25% :) Expiration Date

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(:cellnr colspan=4 width=100% :) Billing Address

 
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City

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First Name (as it appears on card)

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(:cell width=10%:) State

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(:cell colspan=3 width=50%:) Last Name

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(:cell width=15%:) Zip

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(:cellnr colspan=4 width=100% :) Billing Address

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(:cell width=25%:) Country

 
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Email Address (used to send receipt)

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City

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(:cell colspan=3 width=50% :) Telephone Number (used with card)

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(:cell width=10%:) State

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(:tableend:)

Authorization
I hereby authorize Sermons Online to use the above Billing Information to automatically pay for charges incurred by the Sermons Online service.

(:table width=100% border=1px cellspacing=0 cellpadding=3 :) (:cellnr width=100% valign=top :) Signature

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(:cell width=15%:) Zip

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(:cell width=25%:) Country

 

(:cellnr width=50% :) Email Address (used to send receipt)

 

(:cell colspan=3 width=50% :) Telephone Number (used with card)

 
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Authorization
I hereby authorize Sermons Online to use the above Billing Information to automatically pay for charges incurred by the Sermons Online service.

(:table width=100% border=1px cellspacing=0 cellpadding=3 :) (:cellnr width=100% valign=top :) Signature

 

(:tableend:)

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Please PRINT and FILL IN the following form and mail it to the address below.\\

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Please PRINT the following form and mail it to the address below.\\

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Mail completed form to:

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PRINT this form, complete it, and mail to:

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(:table bgcolor=#dfaae6 width=100% cellspacing=3 :)

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You cannot save any data typed into this form

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You cannot save data typed on this form.

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Signature

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Sermons Online Billing 10241 Stratford Ave

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Sermons Online Billing
10241 Stratford Ave\\

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 (:input checkbox:) Visa
(:input checkbox:) MasterCard
 (:input checkbox:) American Express
(:input checkbox:) Discover

(:cellnr width=50% :)

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 (:input checkbox:) Visa(:input checkbox:) MasterCard(:input checkbox:) American Express(:input checkbox:) Discover

(:cellnr width=50% height=60px :)

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(:cellnr width=50% :)

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(:cellnr width=50% height=60px :)

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(:cellnr width=50% :) Home Telephone Number (will not be shared)

 
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(:cell colspan=3 width=50% :) Telephone Number (used with card)

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(:input checkbox:)

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Authorization
I hereby authorize Sermons Online to use the above Billing Information to automatically pay for charges incurred by the Sermons Online service.

(:table width=100% border=1px cellspacing=0 cellpadding=3 :) (:cellnr width=100% valign=top height=120px :) (:tableend:)

Mailing Instructions

Mail completed form to:

Sermons Online Billing 10241 Stratford Ave Fairfax, VA 22030

Changed line 7 from:

PayPal Payments

to:

PayPal Payments\\

Added lines 20-83:


Credit Card Payments
Fill in the following form to pay for your Sermons Online charges with your credit card. (Note: if you have a PayPal account, you must use a different credit card than the one you have assigned to PayPal.)

(:table width=100% border=1px cellspacing=0 cellpadding=3 :) (:cellnr width=100% colspan=3 valign=top :) Card type

 (:input checkbox:) Visa
(:input checkbox:) MasterCard
 (:input checkbox:) American Express
(:input checkbox:) Discover

(:cellnr width=50% :) Credit Card Number

 

(:cell width=25% :) Verification Number

 

(:cell width=25% :) Expiration Date

 

(:cellnr width=50% :) First Name (as it appears on card)

 

(:cell width=50% :) Last Name

 

(:cellnr width=100% :) Billing Address

 

(:cellnr width=50% :) City

 

(:cell width=7% :) State

 

(:cell width=7% :) Zip

 

(:cell width=6% :) Country

 

(:cellnr width=50% :) Email Address (used to send receipt)

 

(:cellnr width=50% :) Home Telephone Number (will not be shared)

 

(:tableend:)

(:input checkbox:)

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(:table width=100% bgcolor=DFAAE6 cellspacing=3 :)

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(:table bgcolor=#dfaae6 width=100% cellspacing=6px :)

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December 07, 2006, at 09:41 AM EST by Dave Marney - Created page
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(:table width=100% bgcolor=DFAAE6 cellspacing=3 :) (:cellnr:) Please PRINT and FILL IN the following form and mail it to the address below.
You cannot save any data typed into this form (:tableend:)

PayPal Payments

Fill in the following form to pay for your Sermons Online charges with your PayPal account:

(:table width=100% border=1px cellspacing=0 :) (:cellnr width=50%:) PayPay Login Email (:cell width=50%:) PayPal Password (:cellnr bgcolor=F3F3F3 :)

(:cell bgcolor=F3F3F3 :)

(:tableend:)