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Please PRINT the following
form and mail or FAX to:
Sermons Online Billing
10241 Stratford Ave
Fairfax, VA 22030
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FAX: 1-213-402-2459
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Church Name
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Sermons Online Account ID
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Pay via PayPal Account
Fill in the following form to pay for your Sermons Online charges with your PayPal account:
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PayPal Login Email
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PayPal Password
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Pay via Credit Card
Fill in the following form to pay for your Sermons Online charges with your credit card. (If you have a PayPal account assigned to your credit card, you must either pay via PayPal, or use a different credit card than the one you have assigned to PayPal.)
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Card type
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Credit Card Number
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Verification Number
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Expiration Date
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Name (as it appears on card)
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Billing Address
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City
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State
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Zip
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Country
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Email Address (used to send receipt)
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Telephone Number (used with card)
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Authorization
I hereby authorize Sermons Online to use the above Billing Information to automatically pay for charges incurred by the Sermons Online service.
