Shannon

Billing Name:

Billing Address:

City:

State: Select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

 Zip Code:

Item: 10 minute call $22.50 15 minute call $33.75 20 minute call $45.00 25 minute call $56.25 30 minute call $67.50 40 minute call $90.00 60 minute call $110.00 90 minute call $165.00

You MUST be the authorized signer on this credit card. If your billing address does NOT match the
credit card I will cancel the transaction. Refusing to pay your bill is credit card fraud and a felony!
All fraudulent charge backs will immediately be forwarded to the Secret Service and the Fraud/Loss Prevention
department of your credit card company or bank. Billing Questions? email: owner@lmc-enterprises.com