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Payment Card Funding Form

Dukascopy Bank Europe

Dukascopy Bank SA

* Account Number:
(first 7 digits)
* Sub Account Number:
(4 digits & currency symbol)

Personal / Billing Information

* First Name:
* Last Name:
The name of the payment card holder must be identical with the name of the holder of the account with Dukascopy Europe The name of the payment card holder must be identical with the name of the holder of the account with Dukascopy Bank SA
* Street Address:
 
* City:
* State / Postal Code (Zip):
* Country:
* Phone Number:
 (nnn-nnn-nnnn)
* Email:

Payment Card Details

* Total Amount:
* Credit Card Number:
* Expiration Date:
* Card Verification Number:

Terms of Dukascopy Europe Card Funding Services

DISCLAIMER

The credit card funding services are provided by our partner bank as third party supplier. Dukascopy Europe does not directly provide any of the credit card funding services. In no event will Dukascopy Europe be liable for any act or omission of any third party including, but not limited to, financial institutions, payment systems, credit card service providers, taxpayer services providers, or any provider of telecommunications services, Internet access or computer equipment or software, or for any circumstances beyond their control including, but not limited to, fire, flood, or other natural disaster, war, riot, strike, act of terrorism, act of civil or military authority, software and/or equipment failure, computer virus, or failure or interruption of electrical, telecommunications or other utility services. Dukascopy Europe shall have no liability for any incidental, consequential, indirect, special or other damages suffered by any party (regardless of whether or not such parties have been advised of the possibility of such damages) resulting from use or the inability to use this Web site.

The Card Funding Service is provided by Dukascopy Bank SA's partner bank (AS Rietumu Banka) as third party supplier. Dukascopy Bank SA does not directly provide the Card Funding Service or any part or technical component of it. In no event will Dukascopy Bank SA be liable for any act or omission of any third party including, but not limited to, financial institutions, payment systems, card service providers, taxpayer services providers, or any provider of telecommunications services, Internet access or computer equipment or software, or for any circumstances beyond its control including, but not limited to, fire, flood, or other natural disaster, war, riot, strike, act of terrorism, act of civil or military authority, software and/or equipment failure, computer virus, or failure or interruption of electrical, telecommunications or other utility services. Dukascopy Bank SA shall have no liability for any incidental, consequential, indirect, special or other damages suffered by any party (regardless of whether or not such parties have been advised of the possibility of such damages) resulting from use or the inability to use this Web site and in particular of the Card Funding service or any part or component of it.