Please print out this page, fill out the form below and return it to the following address:
Access Offshore Financial Services inc.
15 A 11 Kyyhkysmaki
02600 Espoo
Finland
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Name
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__________________________
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Address
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__________________________
__________________________
__________________________
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Telephone
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_______________
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I enclose my payment of US$ 200 (payable to Accesscard) by:
Bankers Draft / Cheque / P.O. / Cash / Western Union
Choice of card:
Checking Account
Visa Card
Gold Card
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