Payment Register 2 – Kris An Charles Investments Co. Ltd.

Email: *

First Name: (alphabets only) *

Last Name: (alphabets only) *

TRN: (e.g. xxx-xxx-xxx): *

Password: *

Confirm Password: *

Hint: The password should be at least 10 characters long. To make it stronger, use upper and lower case letters, numbers, and symbols like ! " ? $ % ^ &

Street Address: *

City/ Town/ District: *

P.O. Box/ Postal Zone/ Zip Code: *

Parish/ State/ Province: *

Country: *

A small charge between $1.00 and $5.00 needs to be applied to your credit card for verification. This charge will be automatically be refunded.

Name On Credit Card: (alphabets only) *

Credit Card Number: *

Card Type: *

Credit Card Billing Currency: *

Security Code CVV2/CVC2: *

Expiration Date: *