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Fax 250 638 8027 www. cfnrfm.ca reception cfnrfm.ca Credit Card Payment Please print clearly I authorize Northern Native Broadcasting CFNR to put through charges on my credit card as listed below. One Time Charge Invoice Amount Pre Authorized Annual Payment Plan Contract Number Payment Date a Date of Agreement To Credit Card Expiry Date Security Number Last three numbers on back of card Name on Card Signature of Card Holder Person Authorizing Company Name Please note the credit card will...

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