Computer Mavens and Association Of Ethical Internet Professionals
                    CREDIT CARD AUTHORIZATION FORM 
                   (Print and Mail or FAX to: 1-877-349-9252)


Purpose of payment: ________________________________________
(Web promotion, consulting, maintenance, AEIP Membership, etc)

I authorize Computer Mavens (parent of AEIP) to debit my credit 
card for the sum of USD: $ ______.________  

Card Number: _________________________  Exp. Date: _____/_____
(Visa, MC, Discover, AmEx)


Print Name: _____________________________________

Signature: ______________________________________  
                     (Signature is required)


Address (Billing Address Of Credit Card):

   ___________________________________________

   ___________________________________________

   ___________________Zip or Postal___________

  FAX to: 1-877-349-9252 or MAIL to:

        Computer Mavens & AEIP
        9081 Lime Bay Boulevard, 
        Suite # 205
        Tamarac, Fl   33321

Note: Your credit card will show a debit by Computer Mavens.
      Computer Mavens is the parent company of AEIP.

Be sure to keep a copy of this for your records. Thank you!
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Computer Mavens-- Search Engine Positioning & Web Marketing
AEIP: The Association Of Ethical Internet Professionals
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Questions? Concerns?  Email: mailto:Hugh@mavens2.com
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