3R CARD - get real Credit Cerd with real Credit Line!

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Application Form

Please, fill the Application Form
(* Required Fields)

1. Select Type of the Package.

Select	Type of the package
	Price: $9.95 Include fees for card issue, 24 month service, activation, worldwide delivery by regular mail. Special offer! If your pre-loaded amount is $50 and more, you will get the card by regular mail absolutelly free of any charge - save $9.95 !
	Price: $49.95 Include fees for card issue, 24 month service, activation, worldwide delivery by courier mail (DHL or FedEx). Special offer! If your pre-loaded amount is $100 and more, you will get the card by courier mail absolutelly free of any charge - save $49.95 !

Enter Pre-loaded Amount:

Pre-Loaded amount (US $):

2. Select the Payment Method.

Select	Methods
	Liberty Reserve Average delay to receive your payment: Instantaneous
	PerfectMoney Average delay to receive your payment: Instantaneous
	AlertPay Average delay to receive your payment: Instantaneous
	WebMoney Average delay to receive your payment: 1h - 4h
	Bank Wire Transfer (Only if pre-loaded amount is $500 and more) Average delay to receive your payment: 24h - 72h

3. Contact Information and Shipment Details.

First name:	*
Last name:	*
Company name:
Address:	*

City:	*
Province/State:
Postal/Zip Code:	*
Country:	*

Phone:	*
Fax:
Email:	*

2. Select the Identification Method.

Please select at least one of the following identification methods, and fill in the field:

Identification methods	Identification number
	*

I accept Rules of Use (Cardholder Agreement)

THE ORDER WILL BE MANUALLY CHECKED BY OUR BILLING ANTIFRAUD OFFICER.
Be aware that our servers record the unique IP address that a browser transmits when requesting a page download which can be used by law enforcement officials to identify a person committing fraud, even if that person does not provide his or her real name. All fraudulent transactions will be prosecuted to the fullest extent allowed by law.

Applicable law requires that all financial institutions obtain, verify and record information that identifies each person who opens and account. You will be asked to provide documentation as proof if identity. Approval is contingent upon passing this mandatory identity confirmation.