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Please read Internet Secure Privacy Policy and Term of Use for further information

By submitting this form I hereby request telecommunications services from Telcan Inc. I authorize Telcan Inc. to charge my credit card indicated above for all obligations contracted from the services ordered. All charges are in US Dollars. I confirm that I have read and that I understand the sales agreement
and that I agree to accept the policies and statements within it. I hereby agree to accept sole liability for the payment of all charges of Telcan Inc. services regardless of whether access permission was granted by myself. Telcan Inc. reserves the right to refuse service. I hereby agree that Telcan Inc. will not be held responsible for any losses or damages as a result of problems with the service rendered. I hereby give permission to Telcan Inc. to use my email address given in this application to send information strictly related to Telcan Inc. This authorization is to remain in effect until Telcan Inc. receives written notification from the undersigned to cancel this authority.


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