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• ECA By Voice

INSTRUCTIONS:

1. Print out this form, and write in the spaces those parts which you need to complete.
2. Telephone the number below that is closest to you:

Then dictate the message below exactly as printed, omitting the explanatory items in brackets ( ):

I, _______________________________________________ (full name), hereby confirm and swear that I am the actual authorized user of the following Screen Name that I use in the Live Webcams section of the WebCamLife site, operated by CC Network, Inc. ____________________.

I also hereby confirm and swear that I am the actual authorized user of the credit card

______________________________ (credit card #) which expires on _______________.

The name on the credit card is _____________________________

The address where my credit card statements are mailed to is:
______________________________________________

______________________________________________

______________________________________________
(Full postal address including country)

CONFIRMATION OF MY IDENTITY

My date of birth is: ___________________________________________________________

My phone number is: (include area code)__________________________________________

My email address is: _________________________________________________________

I confirm that I have read, understood and agree to the Terms & Conditions as posted within the Live Webcams section of the WebCamLife web site and confirm my wish to remove the credit limit to my WebCamLife's Live Webcams account.

Voice signed  ______________________________________________(full name)