Online Payment IT Niche

All * marked fields are mandatory. Please make sure you have filled in the correct information including your address and zip code.

Select Payment Method
Charge a Credit Card Refund a Credit Card Charge a Bank Account Refund a Bank Account
Select Transaction Type
Authorize and Capture Authorize Only Capture Only
Payment/Authorization Information
Original Transaction ID	(not required for unlinked refunds) *
ABA Routing Number	*
Account Number	*
Bank Name
Name on Bank Account	*
Bank Account Type	*
eCheck Type	*
Accepted Payment Method	American Express, Discover, eCheck, MasterCard, Visa
Card Number	(enter number without spaces) *
Expiration Date	(mmyy) *
Amount	(i.e.,10.00) *
Recurring Transaction	*
Card Code	*
Authorization Code	*
TIPS FOR SUBMITTING REFUNDS: + A refund may only be issued for a charge transaction settled within the past 120 days. + The full Credit Card number isrouting and account number are only required for unlinked refunds (without spaces). + Be sure to enter the correct amount for a partial refund.
Order Information
Invoice #
Description
Customer Billing Information
Customer ID
First Name	*
Last Name	*
Company	*
Address	*
City	*
State/Province	*
Zip Code	*
Country
Phone	*
Fax
Email	*

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