Approved

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Amount:

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Card Number:

Authcode:

AVS Result:

CVV Result:

OK

Technetium Group

Personal Information

Full Name ^*

Address

Zip code

Phone Number

Email Address ^*

Transaction Details

$

Amount ^*

+ Convenience fee: 2.83%

Final Amount

Description

Credit Card Details

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Credit & Debit Processing | Electronic Check Services | Gift & Loyalty Programs | Customized POS Solutions

Technetium Group

7 Patricia Lane
Spring Valley, NY 10977

Tell: 845-596-2140

[response]

ID #[transid]

[created]

[cardholder]

$ [amount]

[cardtype]   [ccnum4]

Authorization Number

[authcode]

AVS Response

[avsresult]

CVV response

[cvcresult]

[otherTransaction]

Thank you for your payment.