Application Form for sending to customer support

We are constantly working to make payment process for any goods and services even more convenient.

Today for making a payment it's enough to perform a few simple steps, following the instructions of QIWI.
Form No.1 The problem with the payment, the unit has issued a receipt
 
 
  • Date / Time of payment
    :
  • Receipt number:
  • Number of the terminal:
  • Payment amount:
  • Provider:
  • A detailed description of the problem:
  • Contact telephone number:
    +
  • E-mail:
  • Embedding (scan the check):
  •  
 
 
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Form No.2 The problem with the payment, the unit did not issue a receipt
 
 
  • Date / Time of payment:
    :
  • Number of the terminal:
  • Payment amount:
  • Provider:
  • Account Number:
  • A detailed description of the problem:
  • Contact telephone number:
    +
  • E-mail:
  •  
 
 
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Form No.3 Claim to work call-center
 
 
  • Phone no. To which the call was received:
    +
  • Date of call:
  • Phone no. From which you called:
    +
  • Comments (detailed description of the situation):
  • Contact Number Tel.:
    +
  • E-mail:
  •  
 
 
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