Payments powered by Pesapal

!!! Please note this is a dummy / test form and should NEVER be used to make real payments !!!!

Please contact Pesapal customer service deask ([email protected] / [email protected]) for clarifications on the same.

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Default

One-time Payment

Recurring / Subscription Payments

One-time Payment

Recurring / Subscription Payments (Setup scheduled / recurring payments)

Currency

Amount

Account Number

Cancellation URL

Description

Branch Name

First Name

Middle Name

Last Name

Phone Number

Country

State / Province

Postal Address

City

Postal/Zip Code

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