Credit Card  Fax Payment Form

SUMMARY

 

INSTRUCTIONS   Please print out the credit card form and fill in your payment details.   Fax it to us on:+44 (0)207 1529598 together with your application form   Once your application has been received you will be given a reference N° that you will need to quote on all correspondence, e-mails or when contacting us by telephone   For your convenience if you prefer, you can send us your application form securely  on-line. We also accept payment by cheque and bank transfers.
SECTION 1. PAYMENT DETAILS
Pay to:	Totalnannies.com
Payment for:	Deposit valid for one year to be deducted from the agency fee on confirmation of a chosen candidate
Quantity	1
Amount:	£99.00
ENTER YOUR CREDIT CARD INFORMATION
Credit Card Number
Start Date:
Expiry Date
Signature:	Date:

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