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Credit Card  Fax Payment Form

 

SUMMARY

 

Candidates Qualifications Candidates Responsibilites Family Participation Screening Process Substitution Policy Insurance Available Candidates Program Costs Faq Application Form Short Term Applicaton Form

 

INSTRUCTIONS

 

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Please print out the credit card form and fill in your payment details.

 
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Fax it to us on:+44 (0)207 1529598 together with your application form

 
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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 credit card payment over the phone, cheques 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

 I want to donate to Totalnannies Fundraising Charity. (Please tick)  Click here for more information     5.00
   

ENTER YOUR CREDIT CARD INFORMATION

First Name

 

Last Name

 

Type of Credit Card

 

Credit Card Number

 

Start Date:

 

Expiration Date

 

 

 

Signature:

Date:

 

 

totalnannies.com privacy policy comments disclaimer last updated 24/10/2013 06:58:27   .

Tel:+44 (0)20 85423067. Fax:+44 (0)207 1529598