ChargeForm - Demo

Please enter the Credit Card Number, the Expiration Date (4 digits) and the Amount. If you wish to use the Address Verification System, fill in the fields 'Street Address' and 'City, State, ZIP Code'. The Customer Name and Order Comments are optional. If you enter your email address, you will receive an email copy of the transaction, including the authorization code and reference number. You may change the URLs in the fields "Page displayed upon Approval" and "Page displayed upon Decline". ChargeForm passes control to these 2 URLs, and you may continue there with your chain of processing. If you change the URLs, make sure that the http/https in the URL is correct (If you submit your data to https, but the URL can only process http, you will get the message: no response).
No actual charge will occur to your credit card, this is just a demo with real data.

Credit Card Number
Expiration Date (MMYY)
Amount $
Customer Name
Street Address
City
State
ZIP Code
Country
Phone number
Describe items ordered
Your email address
Page displayed upon Approval
Page displayed upon Decline

This is real time authorization... the bank processor is being contacted for authorization.
This process may take 10-40 seconds depending on internet traffic.