PokerBot.com

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	Player Name - ($20 per name)
	Pokerbot.com Name Order Form
*	(15 chars max no spaces)
	Your Complete Mailing Address
*		Full Name
*		Street Address
*		City, State, Postal
*		Country
*		Email Address
*	Paypal - support@hixoxih.com e-gold - 885950	Payment Method

IMPORTANT:
- you must answer all fields marked with an asterisk
- you must supply a valid email address
- you must send this order from the email address specified

Please allow 1 day for us to review your order and send an email reply with payment instructions.