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JURISDICTION
Europe
USA
Columbia
Mexico
ABOUT US
FAQ
FEES
MasterCard
Visa Card
Pagaflex Card
Bank Transfers
SUPPORT
REGISTER
REGISTER
2020-10-23T15:35:03+02:00
Cardholder Registration
Title
*
Please select
Ms
Mrs
Mr
Name
*
First Name
Last Name
Embossed Name (20)
Gender
*
Please select
Female
Male
Other
Date of birth
*
Date Format: YYYY dot MM dot DD
Card Delivery Address
*
Street Address
Address Line 2
City
ZIP / Postal Code
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Country
Phone
Mobile Phone
*
Email
*
locale
Upload utility bill
*
A Gas, Water, Power, Cable TV Bill or Bank Statement for address verification, as the card will only be shipped to the verified address, not older than 3 months
Upload identification document
*
Passport or Government issued ID
Website URL Info
*
Cardholder Group
*
Please select
cams_wight
glamino_netlook
imlive
livejasmin
Privacy
*
By checking this box, you confirm that you have read and are agreeing to our
terms
of use regarding the storage of the data submitted through this form.
When clicking the “SUBMIT” button you will be redirected to our online idenfy system which enables us to verify your provided information online. Please go through the entire verification process, while presenting the suggested documents and taking live pictures.
Registration
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