The application for buy/sale e-Gold

The minimal sum of an exchange $10
 
 I want   for USD
 The sum which you
 want to 		  e-gold (metal: gold, USD)
 Method of payment  
 The sum at the rate  
 Commission percent  
   
 The note
 Your e-gold #  
 Account name  
 Your name  
 Country and city  
 E-mail  
 Phone  
I agree with rules of exchange office.