Cyber Metal Cash - Regular Mail Buyer Registration Form - Universal Cyber Cash

CYBER CMC METAL CMC CASH

CMC ALLOWS YOU TO BUY OR SELL IN PLATINUM, GOLD, PALLADIUM, SILVER
CONTACT SILESIA GROUP INC

YOU ARE VISITOR:

BUYER REGISTRATION - REGULAR PAYMENT
THIS IS ONE TIME REGISTRATION - $35.00 OR 1 GCMC - EXPIRES IN ONE YEAR FROM TODAYS DATE: ALL CMC BUYERS NEEDS TO BE REGISTERED. FILL OUT THIS REGISTRATION FORM AND SEND WITH PAYMENT TO:
SILESIA GROUP INC. C/O CMC, P.O. BOX 763, ELFERS, FL 34680, USA.
3 COPIES OF ID ARE REQUIRED: UTILITY BILL, DRIVER LICENCE, PASSPORT OR ID CARD.

First Name: _______________________ , Last Name: _________________________

Company: ___________________________________

Address 1: __________________________________

Address 2: __________________________________

City: _______________ , State: _____ , Zip Code: ________ , Country: ___________

Telephone: ______________ , Fax: ______________ , Email: __________________

Web Address of Item(s) you Buy: www.mna.cc/cmc/regularpayments/buyform-BUYER-REGISTRATION.html

Item ID: Buyer Registration

Price in CMC: ____ , Platinum: __ , Gold: 1 CMC, Palladium: __ , Silver: __
OR BUYER REGISTRATIONS CAN BE PAID IN REGULAR CURRENCY: US$35.00

Additional Comments: _______________________________________________
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