PREPAYMENT FORM From (check one): _____ New Account (fill out below) Name/Login ID: ___________________________________ Four letter handle: ___________________________________ Address: ___________________________________ City, State, Zip: ___________________________________ E-mail: ___________________________________ Telephone: ___________________________________ _____ Existing Account (fill out below) Login ID: ___________________________________ (Please note any information changes above) To: Interactive Creations Incorporated 1701 W. Northwest Highway, Suite 220 Grapevine, TX 76051 Dear Sir or Madam: Attached is a certified check or money order for prepayment of my account with Interactive Creations Incorporated ("ICI"). I understand that the minimum amount of any prepayment is $50.00. I also agree to the terms and conditions of ICI's Terms of Service and the Pricing and Billing Policy, as updated. Signature: ________________________ Date: ________________________ ATTACH YOUR CERTIFIED CHECK/MONEY ORDER AND PLEASE MAIL TO ICI AT THE ABOVE ADDRESS TO ACTIVATE YOUR ACCOUNT