Secure Payment Form

Please use this secure order form to pay for goods and services through Window on Cyprus.
You may also use it to pay deposits on Accommodation and tours.

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Please provide the following contact information:

Name
Title
Organisation
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Home Phone
FAX
E-mail

Please enter the goods or services that you wish to pay for.
If paying a deposit, please state what for.


What type of credit card are you paying with ?


Enter your name as it appears on the card


Enter your credit card number in the space provided.


Enter the expiry date of the card


Enter the amount you wish to pay in Cyprus pounds and in numbers


Now please write this amount in words.


If you wish to have items delivered to a different address than the one above please provide the name and  address of the recipient below.

Name
Title
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

Is/are the item/s a gift ?

Yes No

Please enter any comments or special instructions in the box below.


Please check that the information you have entered is correct and then press submit only once. It may take a few minutes to process your form.

Thank you for your valued custom.

If you encounter any problems whilst using this form, please let us know here.

Copyright Armata 1998 - 2014 (All rights reserved)
Last revised: May 08, 2014

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