Alpine Card Service P. Ltd.

Alpine ties with JCBI ............................... JCB cards will be shortly accepted

AUTHORIZED REPRESENTATIVES

FAX PAYMENT

Fill up the form below, print it easily with the information and fax it or email as attachment with copy of credit card (both sides) and the copy of identification (passport).

For using this facility you need to disable popup blocking at least for this website All fields are required

Date	:

I would like to pay
For the purchase of
To M/S
Merchant id no.
By my

The necessary details for this transaction are as below.
Card holder Name	:

Card Number	:

Card Expiry Date	:

Amount in Words	:

ID No. (P.P or ID)	:

C/H Date of Birth	:

Statement Address	:

Download Fax Payment form

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	NOTICE BOARD



	Offline Payment, Quick, Effective and Safe......................... Fax payment alternative to Online Payment...................... more...

	Re-registration All valued merchant members. more...

	JCB cards to be accepted shortly JCB more...


	Read all notice(s)...