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Payments

Please enter all of the information and press "Submit". You will then be able to submit your payment via PayPal.

Do not include "http://" in any field or your submission will be rejected as spam!

* Required fields

*Name: First Name
*Name: Last Name
*Address: Line 1
Address: Line 2
*Address: City
*Address: State
Select state; if international, select IX
*Address: Zip
*Phone Number
please enter a phone number where we can reach you during the day in case we have any questions about your payment
*Reason for Payment
do not include "http://" or your submission will be rejected as spam!
*Amount of Payment
US $
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