WorldPost - Form for Payment
WorldPost - Form for Payment
If you would like to
pay by Credit card, you can print out this form and fill out these following
information.
| Your first and lastname for registering with us |
|
| Which kind of service
would you like to pay for?
Please Check |
( ) Email Storage ( ) Email Forwarding ( ) Dynamic Email |
| Credit card number | |
| Type of your credit card | ( ) Mastercard
( )Visa ( )Discover |
| Your name which appears on your credit card | |
| Expiration Date | |
| Amount of Payment ($ in US dollars) | |
| Issuing Bank | |
| Your Address | |
| Phone number (Optional) |
I authorize WorldPost
to make periodic charges against my credit
card for the charges incurred in using the above subscribed services. I
understand this authorization will remain in effect until WorldPost receives
written notice of cancellation or change of service thirty (30) days in
advance.
Signature_____________ Print Name____________
Date___/___/_____
You can send all these infomation by
Email (If you are not worried about the security problem about sending credit card information over the net.):
Payment@worldpost.com
|