Products Price Quantity Total

Products		Price	Quantity	Total
MAPS Trader - $97 30-Day Trial	$97.00	1	$97.00
Subtotal			$97.00

MAPS Trader - $97 30-Day Trial

$97.00

Subtotal $97.00

Billing Information

* First Name

* Last Name

Company Name

* Address - Line 1

Address - Line 2

* City

* State

* Zip Code

* Country

* Phone Number

* Email Address

Order Summary

Subtotal $97.00

Order total $97.00

Order Summary
Subtotal	$97.00
Order total	$97.00
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Payment Information
Credit card
Card type	Card number	Expiration Date	CVC

Payment Information

Credit card

Card type

Card number

Expiration Date

CVC

Place Order

I understand that the full amount will be billed to my credit card and credit card payments are processed through Trading Analysis' merchant account. I hereby authorize these charges and state these transactions are valid. I affirm that the name and personal information provided on this form are true and correct. I further declare that I have read, understand and accept the terms for this sale.

I have read and understand the terms of this agreement .