[Your_Business_Name] Secure Payment Form
Various examples of how to include your products on the form
Description
Price
Qty.
US$ 20.00
Product description 1
US$ 45.00
Product description 2
US$ 55.00
Item Code
Description
Price
Qty.
Item 1
US$ 20.00
A24265
Product description 3
US$ 45.00
A24268 Red
Product description Max. 3 per order
US$ 45.00
None
1 Bottle
2 Bottles
3 Bottles
A24268 Green
Product description Max. 3 per order
US$ 48.00
None
1 Bottle
2 Bottles
3 Bottles
An example of how to include sales tax on the form
Australian GST Tax 10.00 % MUST be added to the sales amount.
Sales Tax / GST 10% will be added to the sales total.
If this applies to you please check the box:
An example of how to include discount on the form
Discount 10.00 %.
Check this box to receive your 'Special Sunday Discount':
Various examples of how to include shipping and handling options on the form
Shipping and Handling
Select
USA $10.00
Europe $20.00
Rest of World $30.00
Item Code
Description
Price
Select
1
Shipping and Handling up to US$ 200.00
US$ 12.00
2
Shipping and Handling US$ 200.01 - US$ 400.00
US$ 14.00
3
Shipping and Handling US$ 400.01 and up
US$ 20.00
Next please complete your card details on a secure server