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Account holder name
By confirming this payment method, you authorize Coinscribble to debit the bank account specified above for any amount owed for charges arising from your use of Coinscribble’s services and/or purchase of products from Coinscribble, pursuant to Coinscribble’s website and terms, until this authorization is revoked. You may amend or cancel this authorization at any time by providing notice to Coinscribble with 30 (thirty) days notice.
Card number
Name on card