Prepaid Card Order Form





Order Details

Identifier #3V1OFOEU

Card Type Quantity Load Amount Cost per Card Additional Transactions International Use Fee Item Total  
 
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Sub Total: {{format(subTotal)}}
Wire Fee: {{format(fee)}}
Invoice Identifier Fee: {{format(invoice_identifier_fee)}}
BTC Fee: {{format(fee)}}
Total: {{format(total)}}
Identifier #3V1OFOEU
Card Type Quantity Load Amount Cost per Card Sub Total
{{option.cardType}} {{formatNumber(option.quantity)}} {{format(option.amount)}} {{format(option.cost)}} {{format(option.subtotal)}}
Wire Fee: {{format(fee)}}
Invoice Identifier Fee: {{format(fee)}}
BTC Fee: {{format(fee)}}
Total: {{format(total)}}

Select Payment Method:


*All cards are single use cards only.
To allow for mulitple transactions, please select and enter the number of transactions to be added on each card.
The cost of each additional transaction is $0.39 per transaction/per card.

**Please select yes if you wish to make international purchases using cards.
The fee for international transactions is $0.25 for each transaction per card.