ID : 1052471473
Date : 09=05=2003
First Name : 1212
Surname : 1212
Address : 121212
Postal Code : 1212
Email : 12@12.12
Expiry Date : 07-11-2003
Duration of Subscription : 6
Home Tel :  
Work Tel :  
Fax :  
Subscriber : Yes
Subscribe Number : 12345
Non-Subscriber Amount : 
Subscriber Amount : R680
Method : credit card
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