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.



 

 

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