Contact
IPDP
SERVICE AGREEMENT
Türkçe
Türkçe
Payment Page
Payment Page
BELLATEN Clinic
Online Payment System
Contact Info
ID (Identification No)
*
Name
*
Surname
*
E-mail
Tel. No:
Online Services
15 MINUTES
VIDEO CALL (Whatsapp / Facetime)
ONLINE SERVICE COST:
80$
30 MINUTES
VIDEO CALL (Whatsapp / Facetime vb.)
ONLINE SERVICE COST:
100$
E-MAIL CONTACT (Interview)
ONLINE SERVICE COST:
66$
SELECT YOUR APPOINTMENT DAY:
Credit Card Information
The Online Service Fee you select will be charged from your credit card using
the ONE TIME
payment method.
NAME ON THE CARD
CARD NUMBER
EXPIRATION DATE (MM/YY)
SECURITY CODE (CVC2)
**** **** **** ****
Name Surname
expiration
01/30
VALID
THRU
985
security code
Ad Soyad
* I ACCEPT THE PROCESSING OF MY DATA AS
IPDP*
.
* I ACCEPT
SERVICE AGREEMENT
.
Pay