クレジットカード決済サービス | CreditCard Payment Service

PLEASE INPUT SETTLEMENT INFORMATION

*IS REQUIRED

NAME *

PLEASE INPUT YOUR FULL NAME.

EMAIL ADDRESS *

(ALPHANUMERIC)

CARD IS AVAILABLE IF ANY OF THESE MARKS ARE ATTACHED.

AMOUNT

15,000 yen

CARDHOLDER'S NAME*

CARDHOLDER'S NAME ON THE CARD.(ALPHANUMERIC)

CARD NO*

PLEASE INPUT 14-16 DIGIT NUMBER WITHOUT HYPHEN "-" AND SPACE

EXPIRATION DATE*

PLEASE INPUT MONTH AND YEAR (MM/YYYY)

CARD CVV2 *

WHAT IS CVV2 NUMBER?

I agree about the handling of personal information.
※ Please be sure to check before proceeding to "CONFIRM".

This credit card payment system is provided by Maxconnect.
PLEASE INPUT PERSONAL INFORMATION AFTER CONFIRM PRIVACY POLICY OF OUR COMPANY.

FOR ANY INQUIRY
CREDIT CARD SUPPORT CENTER
　Tel: 03-6826-5621 (WEEKDAYS: 10:00-20:00)
INQUIRY E-MAIL ADDRESS
　payment@maxconnect.co.jp

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