Approved
Name:
Amount:
Card Type:
Card Number:
Authcode:
AVS Result:
CVV Result:
OK
OK
Cancel
Sorala's Community Library Membership
Personal Information
Full Name
*
Address
Zip code
Phone Number
Email Address
*
Transaction Details
Membership Type
Basic Membership - $60
Family Membership - $109
Deluxe Membership - $149
Gold Membership - $229
Non Resident - $25
One Book - $5
Silver Membership - $19.99 Monthly (recurring payments)
Other Amount
Amount:
Credit Card Details
Pay with Check
Card Number
*
MMYY
*
CVV
?
Process Payment
Processing By
Merch Pay, Inc. is a registered ISO of Wells Fargo Bank, N.A., Concord, CA.
merchant login
merchant login
merchant login
merchant login
Credit & Debit Processing | Electronic Check Services | Gift & Loyalty Programs | Customized POS Solutions
Sorala's Community Library Membership
16190 Ne 11th Court
North Miami Beach, FL 33162
Tell: 732-503-2327
[response]
ID #[transid]
[created]
[cardholder]
$ [amount]
[cardtype] [ccnum4]
Authorization Number
[authcode]
AVS Response
[avsresult]
CVV response
[cvcresult]
[otherTransaction]