Make a Payment to Talking Heads

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Form: CLIENT#05
Your Details :
Date/Time*

DayMonthYear
DateHourMinutes
Name*

First NameLast Name
Email*
example@example.com
Company*
Reference (eg TH000000 or invoice number)*
Calculate your total payment amount :
Please enter the total quote or invoice amount, including VAT*
GBP
Stripe Charge (calculated automatically)*
We assume that this payment is from a commercial source. If it is not, please do not use this form.
GRAND TOTAL TO PAY
PAYMENT TO BE MADE*

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GBPGRAND TOTAL TO PAY
Should be Empty: