Payment Alert Form B.O.M

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You need to fill this form to make sure we have all the details of your payment.

You must have filled order form previously and deposited into our account before
filling this form

 

ORDER NUMBER
Full name
Email
Email Again
bank branch of deposit
Phone number
Teller Number (Numbers only )
Date of payment
Comment
You have to fill the exact amount you paid at the bank. Filling an amount that exceeds the deposited sum would delay your order. Divide the amount you paid by 180 to get the amount in dollars
Amount betonmarket

your must not change the liberty reserve number
you filled earlier, we use the first Lr number you
filled on order form
Bet on market  account
Bet on market  account