Purchase Code Sector products https://secure.avangate.com/order/finishmoto.php?CART_ID=3991760...

PDF Document

I thinh nguyen the authorize Avangate BV to process a charge on my Credit Card, according to the
attached details, with the amount of 20.88 USD representing the order no. #7893512, placed on
http://www.codesector.com website, on November 03, 2010. The order is to be delivered to the
address below according to my instructions.

Card number: _________________________________________

Card expiration date: ____________/____________

Card holder name: _________________________________________

CVV2/CVC2 (Visa/MasterCard/Discover): _________________________________________

Batch Code (American Express only): _________________________________________

Letter Code (Diners Club only): _________________________________________

Your order is being processed by Avangate BV, the online reseller of the products in your shopping
cart.

I hereby mention I am aware of Avangate BV 's terms of use and privacy policy for online payments
with cards and I agree to them.

Note: Offline processing of your card is not possible if you're using a Visa Electron or Maestro card.

Billing address
Delivery address
(as specified on your bank statement)
thinh nguyen the thinh nguyen the
60A truong son, tan binh 60A truong son, tan binh
8408 ho chi minh, 8408 ho chi minh
Vietnam Vietnam

Date: Signature:

Please find the attached copy of the front and back of my Credit Card and the copy of my identity
certificate.
Please send this document by fax to 650-963-2973 (US/Canada) / +31 84 725 1599
(International)
or online using a SSL secured connection at the following URL: https://secure.avangate.com/order/

1 of 2 11/3/2010 11:37 AM
Purchase Code Sector products https://secure.avangate.com/order/finishmoto.php?CART_ID=3991760...

2 of 2 11/3/2010 11:37 AM