Form

Amount

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Personal data

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Email *

Prefix

Mobile

Address

Do you want invoice?

Yes

No

Internal data

Key

Remarks

The remarks may be visible in the payment extract.

I authorize data processing and storage by easypay, Instituição de Pagamentos. According to the current legislation, I'm allowed to delete and rectify this data, in that case I should address personally or by writting to easypay. I also authorize that this data to be transfered to Conta de testes .