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Credit Money Machine Ultimate Subscription Order Form

LMR International, Inc. Credit Card Authorization Form

Cardholder Name:

Credit Card Number: CVV2 (Code on back) Exp Date:

Billing Address:

City: State: Zip Code:
(Address where monthly Credit Card statements are received)

Phone Number:
(Associated with Credit Card)

E-mail:

Being the cardholder or Corporate Officer, by signing below I understand and agree to the terms set forth in this agreement, agree to pay, and specifically authorize LMR International Inc. to charge my Credit Card, for:

[ ] one Credit Money Machine Ultimate: No setup fee. Payments of $224.97 per month charged annually starting today, cancel further charges any year (includes one-hour live consulting with the developer, video training and reasonable unlimited live support for a year). Includes a 350+ page Credit Repair Course with credit repair techniques and related matters.

[ ] one Credit Money Machine Ultimate: No setup fee. Payments of $299.97 charged every month starting today, cancel further charges anytime (includes one-hour live consulting with the developer, video training and reasonable unlimited live support for a year). Includes a 350+ page Credit Repair Course with credit repair techniques and related matters.

Comments:

Optional (mark with an X any option you want to add):
[ ] WEBSITE. Select style like: [ ] click111.com or [ ] click112.com with integrated editor.
Select way of payment for website :
[ ] purchase in five monthly payments of $99.97 each or
[ ] get 20 % discount and pay only one payment of $399.97 (includes 1 year hosting - website sale is final except when renting.)

[ ] NETWORK SEATS (additional concurrent users) To create a multi-user environment it is needed, in addition to one network seat license for each additional concurrent computer, one FileMaker Pro license for each concurrent computer which must be purchased or rented from a third party provider like www.FileMaker.com
(purchase qty) at $499.97 each or
lease qty at $49.99 per month

THIS SALE IS FINAL. YOU WILL BE CHARGED THE SAME AMOUNT EVERY MONTH (except for Network Seat purchases and/or Website purchase) UNLESS YOU CANCEL FUTURE CHARGES BY FILLING THE FORM AT www.paylmr.com/cancel WHICH WILL BE THE EFFECTIVE CANCELLATION DATE IN CASE OF DISCREPANCY BETWEEN THE PARTIES. THIS IS THE ONLY ACCEPTABLE WAY TO CANCEL YOUR RENTAL.

Signature Date:

3750 Galt Ocean Drive #1511 , Ft. Lauderdale, Fl. 33308-7638
Phone: (800) 713-0457 Fax (800) 708-0365

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Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

Audit

2016-01-28 13:21:26 EST

Credit Money Machine Ultimate Subscription Order Form Uploaded by Lorenzo Rodriguez - paylmr@LMRinternational.com IP 75.149.187.158