Payment Gateway

Personal Info


Name of Client (as in contract):*
Name is required
Mobile Number:*
+ -
Mobile Number is required

Phone Number (e.g. +65 1234 5678)

Email Address:*
Email Address is required

Payment Info


Please choose payment plan:*
Please choose payment plan
DNA Advisor Kit Number:*
The DNA Advisor Kit Number is required
Payment Amount in SGD (e.g. $250.00 + GST) *
Payment Amount is required

Bank's Name*
Please choose a bank

Other bank, please specify:*
 




For currencies other than Singapore Dollars (SGD), conversion will be based on the prevailing rate listed on Oanda as of payment date.