WEBVISIONS REGISTRAR SERVICES
WEBVISIONS PTE LTD


ATTN: Registrar Services Dept.

75 Science Park Drive
Cintech II, Singapore Science Park
#02-06/08, Singapore 118255

FROM: __________________________________

CASE NUMBER: ___________________________(if any)

DOMAIN NAME: ___________________________

AUTHORIZATION TO CHARGE CREDIT CARD
                            

    COMPANY NAME:

   EMAIL ADDRESS:

    NAME ON CARD:

    TYPE OF CARD: (Visa / Master / Amex) *

   CREDIT CARD #:

 EXPIRATION DATE:

 BILLING ADDRESS
  OF CREDIT CARD:

     ACCOUNTS OR
    DOMAIN NAMES
         PAYABLE:

I authorize WEBVISIONS / ASIANFRONTIERS
(a subsisidary of Webvisions) to debit
my credit card for their services rendered at agreed
published prices.

Should I dispute a charge through my credit
provider this will constitute a breach of
contract. It will also result in immediate
deactivation of all services rendered
by Webvisions or any of its subsidiaries.

* delete where applicable

I have included a photocopy of the credit card both front
and back and have signed the photocopy.

Card Holder
Signature: ______________________________________

Date: ________________






INSTRUCTIONS

Please print, sign, date, and fax to WEBVISIONS at

(65)-6773-9389 - Singapore