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              信用卡表單

              美國教育留學咨詢公司
              America Education Consulting LLC

              Please fill the necessary information in the form below. Please then print the form and send it to our offices via either one of the following methods: 1) fax, 2) scan, or 3) physically mail the form to our office at the address listed below. If you are faxing this form, please be sure to either call your in-charge Attorney or clerk so that they may be notified of the incoming transaction.

              Attn: Accounts Receivable
              America Education Consulting LLC
              485 Massachusetts Ave,Suite #300
              Cambridge,MA 02139
              Tel: (978)341-8669

              Card Holder Information:

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              Authorized Amount:

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                Date(mm/dd/yy):

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