Payment Gateway

Personal Info

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