Extended Credit Agreement By Voice

INSTRUCTIONS:

  1. Print out this form, and write in the spaces those parts which you need to complete.
  2. Telephone the number below that is closest to you:
United States:
(602) 926-8948 or, if phoning from outside the US or Canada +1 (602) 926-8948

Netherlands:
(20) 524-1591 or, if phoning from outside the Netherlands +31-20-524-1591

United Kingdom:
(0207) 681-1364 or, if phoning from outside the UK +44 20-7681-1364

Australia:
(02) 9475-0549 or, if phoning from outside Australia +61-(2) 9475-0549

Then dictate the message below exactly as printed, omitting the explanatory items in brackets ( ):

I, _______________________________________________ (full name), hereby confirm and swear that I am the actual authorized user of the following Screen Name that I use in the Live Webcams section of the TopTeenWebcams.com site, operated by CC Network, Inc. ____________________.

I also hereby confirm and swear that I am the actual authorized user of the credit card

______________________________ (credit card #) which expires on _______________.

The name on the credit card is _____________________________

The address where my credit card statements are mailed to is:
______________________________________________

______________________________________________

______________________________________________
(Full postal address including country)

CONFIRMATION OF MY IDENTITY

My date of birth is: ___________________________________________________________

My phone number is: (include area code)__________________________________________

My email address is: _________________________________________________________

I confirm that I have read, understood and agree to the Terms & Conditions as posted within the Live Webcams section of the TopTeenWebcams.com web site and confirm my wish to remove the credit limit to my TopTeenWebcams.com's Live Webcams account.

Voice signed  ______________________________________________(full name)

IMPORTANT!

Please speak slowly and as clearly as possible. If you have any names that are difficult to spell, then please spell them in addition to pronouncing them (e.g. name and address). If we cannot understand your voice message clearly, we will be unable to reactivate your account.

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Compliance with 18 U.S.C. § 2257

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