2Checkout - Your online payment solution

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Electronic

$15.06

Discount (netloadmax)

-$1.13

The billing currency is USD ($)

I have a discount coupon

Total price: $13.93

The total price inclusive of applicable taxes will be displayed before the order is transmitted.

Billing Information

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Licensed to:	Person Company
First name*:
Last name*:
Address*:

City*:
Zip or postal code*:
Country*:
State or province*:
State or province*:

Company Name:
Trade Register:
VAT ID:

VAT ID:	Details
	(only for European Union VAT-registered customers, if available)
Tax office*:
Bank:
Bank Account:

Phone number*:
	(the phone number you have provided will be used only if you cannot be reached via email.)
Fax number:

Email*:	By filling in your personal data you agree that 2Checkout (now Verifone), its affiliates and partners can use it for order related communications.
Confirm email*:

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Billing currency*:


Are you the account holder of a UK bank/building society account?*
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By placing this order you agree to the Terms and Conditions.

By completing my purchase I confirm that I am over 16 years of age and I agree to the Terms and Conditions.
Check out our Customer Support for more information on online payment related issues, order status and transactions.

For prompt service, please state the order number from your confirmation email as a reference. We are happy to answer any questions you might have on the ordering process.

Hotline: ‎+31 88 000 0008 (International)
‎+1 (650) 963-5701 (USA/Canada)
(24/7 English phone support for online payment related issues.)

Order processed by 2Checkout, authorized reseller and merchant of the products and services offered within this store. Verifone Payments BV dba 2Checkout | [Mail address: P.O. Box 11334, 1001 GH Amsterdam] Singel 250, 4th floor, 1016AB, Amsterdam, Netherlands

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