Case payment

Payment data

fields marked
Do you pay in response to the request for payment?
Do you pay in response to the request for payment?
Field can not be empty.
The field can contain only numbers Field max length is 17 characters.
The field can contain only numbers Field max length is 17 characters.
Do you have a case bank account?
Do you have a case bank account?
Field can not be empty.
Incorrect format.

Bank account number should consist of 26 numbers. Acceptable format: XX-XXXX-XXXX-XXXX-XXXX-XXXX-XXXX

Field max length is 1024 characters.
Field can not be empty.The field can contain only numbers Field max length is 17 characters.