Values

GH₵5GH₵10GH₵20GH₵50GH₵100GH₵200GH₵500GH₵1000

Option 1Option 2Option 3

1020304050100
style="span.wpcf7-list-item { display: table-row; }
span.wpcf7-list-item * { display: table-cell; }";

Quantity

Address/Location

Mode of Payment
Mobile MoneyDirect Bank DepositCredit CardElectronic Transfer

Others(Please Specify)

Bank Receipt Number/Mobile Money Reference

Email

More Info