e-metal Payment Order Form

To pay directly from your e-gold® account, fill out this payment order form and press the Preview button.

e-metal^® payment order
Pay	3567319 (webmaster)
Amount:	(numerical amount of chosen units, e.g. 1000.00)
	USD ' worth of
Memo:

-----------------------Authorize Payment-------------------------

From:	(Account Number)
Passphrase
Turing Number:	Enter sequence of numbers displayed in grid directly above. Audible Turing Number

After clicking Preview, you will be presented with a summary of the transaction you have entered.
At that point you may choose to Confirm this e-metal spend.
Once you confirm an e-metal spend, you can not reverse the transaction and take your e-gold back.
(See non-repudiation policy)

This e-gold payment order requires that cookies be enabled on your browser to function properly.
Would you like to have an e-gold checkout button on your web site? Visit the e-gold® programmer's page

9/26/2006 2:31:49 AM GMT

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