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Details) Billing currency*: AED - United Arab Emirates Dirham ARS - Argentine Peso AUD - Australian Dollar BGN - Bulgarian Lev BOB - Bolivian peso BRL - Brazilian Real BYN - Belarusian Ruble CAD - Canadian Dollar CHF - Swiss Franc CLP - Chilean Peso CNY - China Yuan Renminbi COP - Colombian Peso CZK - Czech Koruna DKK - Danish Krone DOP - Dominican Peso DZD - Algerian Dinar EGP - Egyptian Pound EUR - Euro GBP - Great British Pound HKD - Hong Kong Dollar HRK - Croatian Kuna HUF - Hungarian Forint IDR - Indonesian Rupiah ILS - Israeli New Sheqel INR - Indian Rupee JPY - Japanese Yen KES - Kenyan Shilling KRW - South Korean Won MAD - Moroccan Dirham MDL - Moldavian Lei MXN - Mexican Peso MYR - Malaysian Ringgit NAD - Namibian dollar NGN - Nigerian naira NOK - Norwegian Krone NZD - New Zealand Dollars PEN - Peruvian nuevo sol PHP - Philippino Peso PKR - Pakistani Rupee PLN - Polish Zloty PYG - Paraguayan Guaraní QAR - Qatar Riyal RON - Romanian Leu RSD - Serbian Dinar RUB - Russian Rubles SAR - Saudi Riyal SEK - Swedish Krona SGD - Singapore Dollar THB - Thailand Baht TND - Tunisian Dinar TRY - Turkish Lira TWD - New Taiwan Dollar UAH - Ukrainian Grivna USD - United States Dollar UYU - Uruguayan Peso VND - Vietnamese Dong ZAR - South African Rand Enter your internal purchase order number for this order below. The identifier will be included in your Purchase Order form and invoice. Internal PO Number: For Boleto Bancario, product delivery takes place only after payment is received in full.

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Your phone number is required to pay for your order with Boleto Bancario. Are you the account holder of a UK bank/building society account?* Yes No Are you authorized to debit this account?* Yes No All the normal Direct Debit safeguards and guarantees apply. No changes in the amount, date or frequency to be debited can be made without notifying you at least 10 working days in advance of your account being debited. In the event of any error, you are entitled to an immediate refund from your bank. You have the right to cancel a Direct Debit Instruction at any time simply by writing to your bank or building society, with a copy to us. Fiscal Code (CPF)*: Card number*: Card type*: Please select ... Visa MasterCard Visa Electron Maestro Security code*: Card holder name*: Select your bank*: Please select... ABN AMRO Rabobank ING SNS Bank ASN BANK Knab SNS Regio Bank Triodos bank Van Lanschot Bunq Moneyou Handelsbanken First name*: The Bank Account Holder as it appears on the account. Please check that the Bank account is suitable to accept Direct Debits, as some accounts are unsuitable to operate Direct Debits. Last name*: The Bank Account Holder as it appears on the account. Please check that the Bank account is suitable to accept Direct Debits, as some accounts are unsuitable to operate Direct Debits. IBAN*: International Bank Account Number including the two-letter country code, the two check digits and the remaining alphanumeric characters of the basic bank account number (BBAN) as listed on the bank statement.