Instructions to Applicants:

1. . Choose the appropriate
type of  Itemised Payment Description as specified in the Examples on the left.

2. Proceed to fill in the Amex Card details accordingly for the Items selected for payments.

3. Please indicate the payment descriptions and your contact details in the remarks column.

4.Upon receipt of your Authorization for Payments, we will proceed accordingly to process the Transactions and arrange for the necessary.

5. By making payments through this electronic gateway, you have agreed and consented to the use of personal data for the purpose of making payments for our products and services. All data received shall be treated as restricted information and shall not be stored or reused for any other purposes. The privacy and confidential nature of the data shall be maintained and for Safety and Security reasons, all data shall be destroyed after its intended use.

* Please contact us at our
24 Hrs Help Line +65 6747 4898 should you require any assistance.

Payment via Amex for Itemized Products & Services

Name on Amex Card

Amex Card Number

Issuing Bank (E.g; DBS/ UOB etc…)


Card Valid Thru (Expiry Date)

4 Digits Security Pin (In front of Card)

Total Amount to be Paid

Email

Acceptance of Terms and Conditions

Additional Comments (Please edit accordingly))

Amex Card Details

Payment for  Itemized Products & Services

Payment Gateway for Credit Card Payments © 2015 Golf Allianze Pte Ltd