Credit Card Payment
XLI Congreso del Instituto Internacional de Literatura Iberoamericana
La Literatura Latinomericana - Escrituras Locales en Contextos Globales
User-related data
Participant's Last and First Name
Card Owner's Last and First Name
Card Owner's Address
ZIP/Postal Code
City
Your E-Mail Address
Amount for payment
Amount
,00 EUR
Credit card information
Credit Card No.
Credit Card Check Code
(3 or 4 places in the signature field on the card back with VISA and Mastercard)
Exp. Date:
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/
2018
2019
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2024
2025
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2028
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2030
2031
2032
2033
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2038
Start Date:
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12
/
1998
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2018
(Only needed with some credit cards)
Credit Card Issue Number:
(Only needed with some credit cards)