On-line Payment withPayPal™, Credit or Debit Cards via PayPal™
Our customers have the options to pay on-line in Hungarian Forints (HUF), Euros (EUR) or U.S. Dollars (USD). Exchange rates and therefore prices may vary. For all of your orders we will give you the exact price in your preferred currency right before your transaction.
We will also give you the Reference Invoice Number that you must use and enter under the “Your Order Summary” section into the “Description” box when you make the payment.
A detailed invoice in English will be provided to you in all cases.
PayPal email address: firstname.lastname@example.org
|Payment Options and Important Information!||The Reference Invoice Number we give you and the Patient’s Last, First Name must be entered under the “Your Order Summary” section into the “Description” box. For example: ABCDE 123456 – Doe, John|
If you have trouble with on-line payment or would like us to complete the transaction for you than please fill up the Card Payment Agreement forms. After giving us your card information we will make the transaction for your purchase on your behalf.
Credit or Debit Card Payment Agreement Form (Microsoft Word, .doc)
Credit or Debit Card Payment Agreement Form (Adobe, .pdf)
Please fill the forms completely either by typing or writing in uppercase letters.
Providing us with your e-mail address will allow us to send you an electronic invoice immediately after the charge.
You may scan and e-mail the filled form to email@example.com, or fax it to +36 1 577-7393.