To formalize purchase with credit card
To formalize putcharse the Activation Number of EuroMaxiLoto with credit card
Information CLIENT: To make your bill is necessary to fill in all fields on the form.
Number of shopping:
Name:
Company:
NIF/CIF:
Direction:
Pais:
City:
Zip Code:
Phone:
E-Mail or mobile phone :
License number:
Getting your activation number by:
Before pressing the button To continue Purchase it reads the detailed instructions more down.
When the button presses To continue Purchase will accede to the footbridge of MINT payment (confederadas Savings banks). The data that introduce then only will be known by You and by the banking organization that conducts the operation. It will have to introduce its strange number of card without spaces in target nor characters. Also it will have to introduce the date of lapsing of its card with format YYYYMM (year and month without spaces). If, for example, its card expires the 10 of the 2008 will have to introduce 200810