Payment for Medium package

Please enter information on this form to make payment for Medium package . The amount you need to pay is $50.00 (sales tax excluded). Notice that our certificate officers need to check your identity before we can create Electronic-identification for you.

First Name *

Last Name *

Title

Your Title (e.g. Prof. Dr. PhD.)

Position

e.g. Chief Executive Officer (CEO), Department manager, ..

Legal form

The legal form of your company

Organization *

VAT Registration number

A value added tax identification number or VAT identification number (VATIN) (e.g SE5569238xxxxx)

VAT Payment

Sales tax within EU is 25%

I do not have an VAT number

I have an VAT number

Address *

Address2

City *

State

Zip

Country *

Phone (Including Country Code) *

Email *

Webpage

Please enter your homepage

Payment method *

Paypal
Offline Payment

Verification code*

Please enter the code you see in the image into the textbox

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