Witam

Mam problem nie wiem jak wypelnic ten formularz.
Mam konto w inteligo i chce urzyc tej karty (VE).
Nie wiem co wpisac w :
Validity Expiry date
Card-cid (for SWITCH cards)
Name (as appears on card)
Issuing Bank or financial institution

Bardzo prosze o pomoc.

INTERNET / ONLINE DEPOSITS

I do hereby authorize Fixed-Odds Group Ltd. to charge my credit card and
deposit funds to my OffshoreMetals.com account for the amount listed below.
I have read and accepted the terms and conditions of the OffshoreMetals.com
website.

Full name of card holder : _____________________________________
Address : _____________________________________
_____________________________________
Phone No. : _____________________________________
Fax No. : _____________________________________
Email address : _____________________________________
Credit card : Visa / Mastercard / JCB / Switch / Solo
Credit card No. : _____________________________________
Validity Expiry date : _____________________________________
Card-cid (for SWITCH cards) : _____________________________________
Name (as appears on card) : _____________________________________
Issuing Bank or financial institution :
_____________________________________
Sum to be paid : US $ _______________ (min: $50 max: $2500)
OffshoreMetals.com Login ID : _____________________________________




_______________________________ _______________________
Authorized Signature Date



a.. Your credit card statement will show a debit by "FIXED ODDS GROUP
LTD."
b.. I (we) agree that the Credit Card transaction shall be irreversible.
Funds received will be credited to my (our) Offshoremetals.com online
account and will be used for the purpose of buying e-cash currencies
available on that website (e-gold, goldmoney, webmoney) or for withdrawing
via other available withdrawal methods. Accordingly, I (we) agree to the
Terms and Conditions of the Offshoremetals.com website.