千葉回春マッサージリラックス クレジット決済されるお客
PLEASE INPUT SETTLEMENT INFORMATION
*
IS REQUIRED
TEL
PLEASE OMIT HYPHEN "-". (NUMERIC)
EMAIL ADDRESS
(ALPHANUMERIC)
CARD IS AVAILABLE IF ANY OF THESE MARKS ARE ATTACHED.
AMOUNT
*
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
*
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2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
PLEASE INPUT MONTH AND YEAR (MM/YYYY)
CARD CVV2
*
THE LAST THREE OR FOUR DIGIT NUMBER ON BACK SIDE OF THE CARD
This credit card payment system is provided by Maxconnect Singapore.
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)
Tel：+65-6829-2340 (WEEKDAYS: 10:00-20:00)
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