Please use this form to pay for goods and services through
Window on Cyprus.
You may also use it to pay deposits on Accommodation and tours.
| Name | |
| Title | |
| Organisation | |
| Street address | |
| Address (cont.) | |
| City | |
| State/Province | |
| Zip/Postal code | |
| Country | |
| Home Phone | |
| FAX | |
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 years to process your form.
Thank you for your valued custom.
If you encounter any problems whilst using this form, please let us know here.
