D.A.T.E Registration

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Place Your order Online via
Secure Credit Card Processing (SSL)


Step 1:

Complete the form below with your payment information.
Initial Payment is $29.95.

Step 2:

After your credit card is approved you will be redirected to our sister site where you will complete the signup process.

Billing Information

First Name:  *
Last Name:  *
Address:  *
City:  *
State:  *
Zip:  *
Phone:  *
E-Mail:  *
Type of Creidt Card:  *
Credit Card #:  *
Expiration:  (mmyy)
Credit Card Security Code:  *



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