Payment Confirmation

Please fill the form below to verify your payment (local bank transfer only)

 

Name*

Email*

Order Code*

(ex. WGJMARxxx)

*you can check your order code on the ‘Order Confirmation’ email we sent you

Amount paid*

Date of Payment*

Payment to

 BCA (Bank Central Asia)

Bank of the sender

Name of the Account Owner*

Note

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