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$29.99 / us funds                         Type Virtual USA                     Payment
Must include Referrer ID# for processing
Enter cvv2 code locate on the back of card, last 3-digits above the signature line of  Visa or MC
TVU copyright 2009
* Verify form before you click submit
Your card will be billed one-time $29.99 / usa or $39.99 / international
registration fee & energyfield processor for Type Virtual USA will appear on
your billing statement