Aman Palestin Berhad
No.1 Jalan 3/3B, Seksyen 3 Bandar Baru Bangi 43650
Tel : 603-89267019 Fax : 603-89259963
Email :
Pay to Merchant Aman Palestin Berhad
Amount MYR 100.00
Number of Payments to be made 12
Frequency Monthly
Product Description Keluarga Miskin Palestin
First Payment Date    
Name On Card *
CreditCard No. *
CreditCard CVV *
Card Expiry Date *  - 
CreditCard Issuer Country *
CreditCard Issuer Bank *
Identity Card No / Passport No *
Card Holder Email *
Card Holder Contact *
Recurring Reference * Remark for your recurring payment, maximum 30 characters only. (eg. Donation, Payment for insurance plan, Bill payment)
Other Payment Details Description of purpose or other info related to your recurring payment, maximum 50 characters only. (eg. Monthly payment for my insurance plan)
Tick if Personal Information and Credit Card details are the same
Customer Name *
Customer Email *
Customer Phone No. *
Customer Address *
Customer Address Line 2
City *
State/Province *
ZipCode *
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