WEBVISIONS PTE LTD / ASIANFRONTIERS Network Services
(A Subsidiary of Webvisions)



ATTN: SALES DEPARTMENT

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
FOR .BIZ DOMAIN REGISTRATION

    COMPANY NAME:

   EMAIL ADDRESS:

    NAME ON CARD:

    TYPE OF CARD: (Visa / Master) *

   CREDIT CARD #:

 EXPIRATION DATE:

 BILLING ADDRESS
  OF CREDIT CARD:

     ACCOUNTS OR
    DOMAIN NAMES
         PAYABLE:

DOMAIN NAMES SUBMITTED:

I authorize WEBVISIONS / ASIANFRONTIERS
(a subsisidary of Webvisions)
to debit my credit card as a ONE-TIME fee
for .biz Domain Registration services
rendered at agreed published prices.



Should the domain name application be
successful in the REGISTRY LIVE period,
I authorise WEBVISIONS / ASIANFRONTIERS
to debit a further 2 years' domain
registration fee from my credit card.



Should I dispute a charge through my credit
provider this will constitute a breach of
contract. It will 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 /
ASIANFRONTIERS NETWORK SERVICES
at one of the following offices.

(65)-7739389 - Singapore
(91)-22-8516240 - India
(03)-21622206 - Malaysia
(01)-508-3003065 - USA