Please fill in all fields before submitting the questionaire.
Creditcard Payment Form
Please fill the required fields to proceed
Type of Processing?
Single
Multiple
Account Number
Payment Amount
Split Amount
Do you want to go with same CreditCard details as in AccountNumber 1?:
YES
NO
Provide Amount to be Paid:
Note: If the Customer is going for Amount > 600 for
"Residential"
or Amount > 1500 for
"Commercial"
then please provide the splitted amount values
Split Amount1:
Split Amount2:
Split Amount3:
Split Amount4:
Split Amount5: