Inteliweb: Forma Segura de Pago Enlinea

Inteliweb
Telephone: 5202-8200
info@inteliweb.net

Inteliweb Secure Payment Form

Client Information:

First Name

Last Name

E-mail

Please describe the service(s) and/or product(s) you wish to pay for:

Description:

Please write the amount you wish to pay:

Payment Amount

Para su seguridad esta transacción está siendo procesada en un "servidor seguro".
A continuación sírvase llenar los espacios con la información requerida por el banco local para procesar su pago con tarjeta de crédito.
For your protection this transaction is being processed through a "secure server".
Please fill out the blank spaces required by the local bank in order to process your credit card online payment.

Credit Card Information:

The credit card information will be asked for in the next step,fill in the information required an
later click on "Make Payment"

Invoice Information:

Name

Address

NIT

(if are not a Guatemalan Resident please type in the following "CF")

NOTE:We reserve the right to review that all the information filled in this form is correct.