AXJ CREDIT & COLLECTION SERVICES

PLEASE PAY HERE FOR POSTING ON OUR WEBSITES
* AXJ, INC. is entitled to recover a surcharge of 10 percent of the amount of the debt in connection with the recovery of the debt.
DISCLAIMER: AXJ, INC. complies with the USA Patriot Act

Order Information
Member ID & Pro-Forma Invoice #
Description	AXJ Unique member number ID on the Internet
Customer Information
Customer ID	AXJ-MEMBER Unique affiliate number

Quantity	Description	Unit Price	Sub-Total	Total



Subtotal:
+ Tax:
TOTAL:

If you prefer to make your Payment via PAYPAL please use:

axj@email.com

Payment Method

Credit Card Information

Card Type :

VISA Master Card

Card Number:

Expiry Date:(mm/yy)

Name on Card:

Card Number:

(No spaces or hyphens please)

Exp. Date:

mmyy or mm/yy

Checking Account Information (Payment method by Checking Account)

Bank Name

Account Number

(All numeric - no spaces please)

ABA Routing Code

Help

Please mail payments to:
AXJ-BANK

IN SPAIN
SOLBANK (GRUPO SABADELL) WWW.SOLBANK.ES
Oficina Numero 2293/Puerta de Alcala
Numero de Cuenta:
"Madrid - SPAIN TEL: 34 (91) 531.78.03 FAX: 34 (91) 531.86.61"

Invoice/Desea factura

AXJ starts transmitting via internet TV from the USA 24/7/365 and is opening branches in Argentina, Brasil, Chile, Colombia, Costa Rica, Cuba, Ecuador, Guatemala, Haiti, Mexico, Spain, Venezuela, and other Spanish speaking countries.

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