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Please use this secure form to submit credit card information for payment of NLE Internet Services:
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Enter your Credit Card number: |
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| Enter your Expiration Date: | |
| 3-digit Security Verification number (on back of card): | |
| Enter your Name as it appears on your card: | |
| Enter your Billing Address: | |
| Enter your City, State, Zip, (Country): | |
| Enter the amount you wish to pay (in US$): | |
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Payment is for: (Use this for any comments) |
"By pressing the Submit Button, I authorize New Life Electronics / NLE Internet to bill my credit card for the above listed amount."
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