Credit Card Payment Application

If you wish to pay your Pacnet bill by Giro,

  1. Fill up this form. When you're done, click the "Create Form for Printing" button at the bottom.
  2. Print out the form created at the next page and sign it in ink
  3. Mail it back to us at:

    Attention:
    Finance Department
    Pacnet Internet (S) Pte. Ltd
    89 Science Park Drive
    #01-07 The Rutherford
    Singapore 118261

Your application will be processed within 2 months. We will duly inform you once your application has been approved. Please do not send any payment by cheque once you received the verification. Your bill will be charged to your credit card.

Request for Credit Card Payment form
Name of Credit Card Holder:
Tel (H):
Tel (O):
(A) Type of charge Card
(please tick the appropriate box)

AMERICAN EXPRESS

VISA

MASTER CARD

(B) Credit Card Account No:
(C) Expiry Date  -  (mm - yy)
(D) Pacnet Account No.