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Direct Credit Card Payment

This screen is used to send a direct credit/debit card payment to Leisureinsure

Please use this function only under direction from Leisureinsure Head Office. All fields are mandatory

Please note that this function is not available for "Instant Quotes" that have been provided by this site. If you have had and "Instant Quote" from this site, please use the Quote Recall and settle your premium there

Please enter your payment details
Quote reference or Policy Number
Amount of Payment (format pounds.pence ie 99.15)
Card Type
Your Name
Your Telephone
Your Email
Status
Do you require installment facilities