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PostHeaderIcon Payment Notification

Our Account Details:

Name of the Bank: Guaranty Trust Bank Plc

Account Name: UPSILION TECHNOLOGIES

Account Number: 591/582906/1/1/0

After making your payment in the bank, you are requested to come back and fill this form for us to process your order. You are requested to fill this form exactly the way it is written on your bank deposit slip to avoid confusion.

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Please enter your name

 
Please, enter your email for easy contact

 
Who paid the money into our account?

 
Please enter your mobile number for easy contact!

 
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Please your teller number

 
What have you paid for? Kindly enter it/them here.


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Date &Time
Wed, 22 Feb 2012 12:00:40
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