Please indicate how you will make payment
/_/ I have submitted an e-check at [your website]
(for a $2.50 flat fee)
/_/ I have paid online via credit card at [your website]
(subject to a service fee of 2.85% + a flat $0.68,
Visa, Mastercard, Discovery, and American Express accepted.)
/_/ Check or money order made payable to [you] and mailed to:
Your company name, PO Box, City, State, Zip
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