| 775-924-4436
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| Merchant name: CDH Productions
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| Description: GraFX Saver Pro
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| Purchase amount: $75.00
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| Product ID: ______________________ (Found in bottom left corner of the Purchase window)
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| Name: ____________________________________________________________
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| Street 1: ____________________________________________________________
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| Street 2: ____________________________________________________________
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| City: ____________________________________________________________
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| State / Province: ____________________________________________________________
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| ZIP / Post Code: ____________________________________________________________
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| Country: ____________________________________________________________
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| Phone: ____________________________________________________________
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| E-mail: ____________________________________________________________
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| It usually takes 2 to 5 business days after receipt of the check for the bank to process the check. Once the check has been processed the activation code is e-mailed to you within 48 hours. (Attention: There is a $25.00 charge for all returned checks.)
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| Card Type: ____________________________________________________________
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| Card Number: ____________________________________________________________
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| Expiration Date: ____________________________________________________________
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| Signature: ____________________________________________________________
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