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Important: Information provided in the following fields must match the information on your Credit Card billing statement exactly or your billing information will not be processed.

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By submitting this form, I hereby indicate my consent and hereby authorize Internet Brokers Group to charge my credit card for the one-time Total Setup Cost below, as well as the Monthly Fee below, billed each month forward on my original signup date. I understand that I will not be contacted for further authorization before my card is charged, and no refunds will be given after the charge has been made. Cancellation of Marketing On Demand must be submitted in writing prior to the date of your monthly billing. Billing will be made in Canadian funds.

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