SPENDING LIMIT INCREASE FORM

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(1) this completed form, including signature and date

(2) copy of your ID (state issued or passport)

Email us scans of the above documents to support@chaturbate.com. If no scanner is available, you

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CUSTOMER INFORMATION

CUSTOMER NAME: Lars Pakes

larsspakess@gmail.com
BILLING ADDRESS:

Anna paulowna Noord Holland 1761zh

[city] [state/province] [zip/post code]

Netherlands
[country]
larspakes@hotmail.com
EMAIL:
0611430456
PHONE:

I agree to pay all amounts corresponding to any online orders placed through my user
accounts at Chaturbate.com. I hereby authorize Chaturbate, including its authorized
agent(s), to process payment to my purchase method. I also agree to abide by
Chaturbate’s terms of use associated with my user accounts and the terms applicable
to the purchase method.

21-08-2023
Customer signature: Date:

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Last updated 11-16-2017