Online Payment in USD ($)

Online Payment in USD ($)

A. STUDENT'S DATA

RF PAYMENT CODE

STUDENT'S FIRST NAME

STUDENT'S LAST NAME

B. PAYMENT INFORMATION

PAYMENT AMOUNT (USD only)

When you enter the payment amount to separate decimals use only dot and not comma

C. CONTACT INFORMATION

TEL. NUMBER

E-MAIL

ADDRESS

CITY

POSTAL CODE

STATE

COUNTRY

TERMS AND CONDITIONS

By entering your credit card information:

You are stating that you are an authorized user of the credit card and that the associated information entered (account holder name, number, billing address etc.) is accurate.
You authorize ACG to charge the amount you have requested to your credit card.
For each transaction, in addition to the charge you have authorized, your credit card issuer may assess their customary transaction or handling charge, which is your responsibility.
By clicking “Pay Now” you are consenting to receive one-time confirmation of this payment electronically to the email address you have provided us.
We use a credit/debit card processing company to process the user’s credit/debit card charges for products, retrieval requests and chargebacks. We do not retain, share, store or use personal information for any secondary purposes.

Read here the Notification and Consent for the processing of Personal Data

I confirm that I received the explicit consent of third persons/ data subjects for the collection and transfer to ACG for the aforementioned purposes of their personal data which are included herein.

Yes No

I have been informed and I hereby provide my consent for the processing of the aforementioned data.

Yes No