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Client Account Name *
Invoice Number *
Amount to Pay *
Card Type *
Mastercard Visa Bankcard for Procord Services rendered.
Card Number *
Cardholders Name *
Expiry Date *
Month Jan (01) Feb (02) Mar (03) Apr (04) May (05) Jun (06) Jul (07) Aug (08) Sep (09) Oct (10) Nov (11) Dec (12) Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Card Security Code (CCV) *
Last 3 digits on the back of your card
Daytime Telephone Number
Email Address *
Receipt Required
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Credit Card payments can also be made via telephone – 1300 6 555 10 – option 2 2.2% service fee on credit card transactions.
No credit card details are stored for your security, please see our privacy page for more information.
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