WEB PLAYERS/ DIGITAL SERVICES Ltd.
CREDIT PURCHASE AUTHORIZATION / MONIES ISSUANCE FORM
Please Complete and Fax to:
800-713-3916 or +44-870-168-1220 From within england, dial 0870-168-1220 Important: You must include a photocopy of your credit card(s) and Valid Drivers License or Passport. Make sure your photocopy is readable. We recommend enlarging to 120%.
TELEPHONE DEPOSITS I ____________________________________, do hereby certify and attest that I am the authorized cardholder for the below listed credit card(s) and agree to pay for the E-Cash purchased under the captioned Electronic Financial Services (EFS) account using the credit card(s) indicated below. I confirm that I have used the services of EFS (Credit Card Processor and WEB PLAYERS/ Digital Services Ltd. (Merchant Account), and agree to pay the below listed amount. Please Select (check one or both): ( ) I do hereby authorize WEB PLAYERS to charge my credit card and deposit funds into my EFS account for the amount listed below.

Credit Card Number Expiration Date Payment

( ) I do hereby authorize WEB PLAYERS/ DIGITAL SERVICES Ltd to charge my credit card(s) in each instance that I verbally authorize a deposit to my EFS account over their recorded telephone lines.

Credit Card Number(s)* Expiration Date             * Your credit card(s) will be charged per your verbal instructions in the exact order that they are listed.

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Authorized Signature                             &nb