Learn and Help  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 indicated by Learn and Help Staff in USD:
Total USD
Your Credit Card will be chanrged in Guatemalan Quetzales (GTQ) for the equivalent amount enterd in US dollars
Weekly Exchange Rate
Payment Amount
Local Currency Information: Your credit card will be charged in Guatemalan Quetzales (GTQ) in the amount equivalent to US dollars (USD) you entered above

 
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:

Cardholder's first name: 
Cardholder's last name: 
Type of Credit Card: (If applies)
Credit Card Number: (If applies)
(Do not use space or any other character in between numbers)
Expiration Date:  /    month / year   (If applies)
Security Code CVV   (Frecuently located at the back of your credit card)
Card billing address: 
City: 
State:    (Only USA)
County: 
ZIP Code: 

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.

NOTA: Una vez hace la solicitud para autorizar el pago con el banco , favor NO refrescar la pagina ni regresar utilizando la tecla "Back" de su navegador, espero que termine el proceso.



 

 

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