Approved
Name:
Amount:
Card Type:
Card Number:
Authcode:
AVS Result:
CVV Result:
OK
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Transaction Details
Amount
*
$1,800
$720
$540
$360
$180
$118
$72
Donation Designation
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Credit Card Details
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*
MMYY
*
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Personal Information
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*
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Process Payment
Processing By
Merch Pay, Inc. is a registered ISO of Wells Fargo Bank, N.A., Concord, CA.
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Credit & Debit Processing | Electronic Check Services | Gift & Loyalty Programs | Customized POS Solutions
Olami Arizona
6740 East Voltaire Avenue
Scottsdale, AZ 85254
Tell: (480) 390-6173
[response]
ID #[transid]
[created]
[cardholder]
$ [amount]
[cardtype] [ccnum4]
Authorization Number
[authcode]
AVS Response
[avsresult]
CVV response
[cvcresult]
[otherTransaction]
