Order Information
Transaction Type Charge A Credit Card / Debit A Checking Account
  Credit Money Back To A Credit Card / Checking Account
  Authorize An Amount / Do Not Capture Funds Yet
  Capture Funds Only (requires Authorization Code) (Credit Card Only)
Invoice #
Description
Amount
Payment Method Credit Card
  Checking Account (USA only)
 
Credit Card Information (if Payment Method is Credit Card)
Accepted Cards Visa
  MasterCard
  Amex
  Discover
Card Number
Exp. Date  (mmyy)
Authorization Code  (for Capture Only transactions)
 
Checking Account Information (if Payment Method is Checking Account)
Bank Name
Account Number   (enter numerals only -- no dashes or spaces)
ABA Routing Code   Help
 
Customer Billing Information
First Name
Last Name
Company
Address
City
State/Province
Zip Code
Country
Phone
E-Mail