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School: __________________________________ Name: ___________________________________ Phone: ________________Address: _______________________________________ Apt# ____________City: ________________________ State:_____________ Zip:_____________Email: __________________________________________________________

Visa Master Card Discover Check

Credit Card Number: ___________________________ Expiration: __________Security Code: _______________

Quantity: __________ Amount Enclosed: $_________

(MAKE CHECK PAYABLE TO: CEVA MEDIA GROUP)

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