Payment Information
Organization 
Amount($)   USD
  Example: item name or service
Description 
  100 characters left
   
  Transaction Information
Card Type 
  Enter without dashes or spaces
Card Number 
Expiration Date  /
Security Code    (3-4 digit security number)
   
  Billing Information
First Name 
Last Name 
Country 
Billing Address 
 
City 
State 
  Enter a 5-digit ZIP code
Zip Code 
Phone  Example 5555555555
(optional) 
Email  Example name@email.com
(optional)