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    #ILoveGay Twitter 360° Network
      ...Ushering in a more connected LGBTQ world!

#ILoveGay Payment Form

  First Name
  Last Name
  E-Mail
  CC E-Mail
  Address
  City
  State/Province
  Zip/Postal Code
  Country
  Phone
  Fax
  Cost: $25 + $5 S/H
  Tank Top/Shirt Selection
  Credit Card Type
  Credit Card Number
  Security Code
  Visa/MC: 3-Digit Code found on Back of Card
  Amex: 4-Digit Code found on Front of Card
  Expiration Date
  Name on Card