Approved
Name:
Amount:
Card Type:
Card Number:
Authcode:
AVS Result:
CVV Result:
OK
OK
Cancel
Tzachi
Israel
Fund
Personal Information
Full Name
*
Email Address
Credit Card Details
Pay with Check
$
Amount
*
Card Number
*
MMYY
*
CVV
?
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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
Tzachi
Israel
Fund
1150 S Cedar Crest Blvd
Allentown, PA 18103
Tell: 484-239-2600
[response]
ID #[transid]
[created]
[cardholder]
$ [amount]
[cardtype] [ccnum4]
Authorization Number
[authcode]
AVS Response
[avsresult]
CVV response
[cvcresult]
[otherTransaction]
