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Send Payment Details for Bank Deposit Payment

 

    Your Complete Name (required)

    Username (required)

    Your Email (required)

    Type of Subscription:

    Date of Subscription [mm/dd/yy]

    Bank Deposit Payment Details:

    Date of Payment [mm/dd/yy]

    Time of Payment [hh:mm]

    Bank Name and Branch where deposit was made

    Amount Deposited

    Message

    Indicate here any message or instruction you want to send to us.

    For bank deposit, please upload below a scanned copy of the deposit slip.

    Deposit/Payment slip Upload

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