Canton POS
Membership Admin Notification
Category
[title] | $[memamount] 1 $[memamount]
* If Student or Educator Member, please indicate your school:
Personal Information
Name: [Fullname]
Address: [peraddress]
Day Phone: [phone]
Home Phone: [phone]
E-mail: [peremail]
Payment Information
Sub-Total: $[subamount]
Total: $[totalamount]
Type of Card:[cardtype]
Name on Card: [nameofcard]
Card Number: [cardnumber]
Security Code: (CVV): XXXX
Expiry Date: [expirydate]
Billing Address: [billingaddress]
Phone: [billingphone]
Transaction Posted: [datetime]
Transaction ID: [transactionid]
Response: [status]
Total Cost: $[totalamount]
