Card Payment -

Credit/Debit Card

Full Name

Enter your full name as it appears on the card.

This field is required.

Email Address

We will send a receipt to this email.

This field is required.

Credit Card Number

Enter your 16-digit credit card number.

This field is required.

Phone Number

Enter your contact number.

This field is required.

CVV

Enter the 3-digit CVV number on the back of your card.

This field is required.

Expiration date

Enter the Expiration date

This field is required.

Payment Amount

Enter the amount you wish to pay.

This field is required.

Billing Address

Please provide your billing address.

This field is required.