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Click Here >>>>>>>>>>>>>>>>>>>>>>>>>>>>> 1 Month Personal Service $19.95 3 Months Personal Service $59.85 6 Months Personal Service $119.70 1 Yr. Personal Service $179.40 Other (Please specify below in notes)

<<< By Checking this Box, as owner and authorized signor of the checking account below, I do hereby authorize NetsCorp to duplicate the enclosed check information in bankdraft form for this one transaction only. No other bankdrafts may be created on my behalf without my/our direct authorization. I have read and I understand the terms and conditions as stated in this document.

Name as listed on account Amount of Check Bank Name Bank Address Bank City Bank State Bank Zip Bank Phone: (include area code)   Using the diagram above as an example, enter the information that appears at the bottom of your check. Routing Number Account Number Your Check Number Please enter any additional instructions below. By submitting this form you authorize us to draft your account, specified above, for the "Total" amount shown on this form in return for the products selected above. You acknowledge that you are the owner or authorized signer on the account information entered in this form. If paying by check, your order will be processed through your local bank as a normal check by the Checknique program, and your account will never be accessed electronically. After you have entered the information, there is no need to send the check to us. Simply write the ordering information in your checkbook, just as if you had sent it in. Please remember to remove the check from your checkbook and void the check. Keep that check for your records.