Standard Form Demo

  WELCOME TO THE DEMO STORE!
THIS IS FOR DEMONSTRATION PURPOSES ONLY.

This is a demonstration of the iTransact.com’s Standard order form. The customer’s name, address, email address, and account information are requested on the merchant’s site.

  PRODUCT DESCRIPTION  PRICE
Octane Laptop XL34 $2,275.95
Intel 233 MHz Pentium
4.1GB Hard Drive
4MB Video RAM
Internal 20X CD-ROM
64MB EDO RAM
TV-Out Port
13.3″ TFT/DSTN
16-bit Stereo Sound
Select to Order  | Quantity:
  PRODUCT DESCRIPTION  PRICE
THX Workstation $2,385.95
Intel Pentium
32MB Sychronous DRAM
3.2GB Hard Drive
QWE 3D Grahics Card 2MB SDRAM
17″ CRT .28dp Monitor
33.6 Fax Modem
16-bit PCI Sound Card
Enhanced Software Collection titles
Select to Order  | CPU Speed:
Increase Monitor to 19 inch (Add $300.00)
Add 32 MB RAM (64 MB total) (Add $40.00)
  PRODUCT DESCRIPTION  PRICE
Stellar EXC+ Server $4,102.00
Intel 333 MHz Pentium II
Intel Triton 440FX Chipset
9.4GB SCSI Hard Disk
30X IDE CD-ROM
128MB EDO RAM
17″ Flat Screen .28NI Monitor
240W Stereo Speakers
MS Windows NT/Office
56K Fax/Modem w/Voice
3-Year On-Site Warranty
Select to Order  | Case Color:
56k Sportster Modem (Add $65.00)
400 MHz Processor (Add $249.95)

GENERAL INFORMATION

First Name: Last Name:
Address:
City: State: Zip:
Country:
Phone Number:
E-Mail Address:

CREDIT CARD PAYMENT OPTION
Card Number: Exp. Date:
Demo Number: 5454545454545454 Demo Exp. Date: 12/2010

CHECKING ACCOUNT PAYMENT OPTION
At the bottom of your check is a series of numbers, separated by symbols. It is not necessary to enter symbols or spaces in the fields provided below.

Enter the series of nine numbers
between this symbol
  (Demo ABA: 124000054)
Enter the series of numbers
found before this symbol
  (Demo ACCT: 12345)
Check number to use:     (Not required.)
Note: Some banks use a non-standard format in this series of numbers. If your account number includes this symbol , simply disregard the symbols and enter this section of numbers.
SUBMIT THIS FORM ONCE ONLY!
This transaction will be processed in REAL-TIME.

Pressing submit multiple times will cause duplicate orders and charges to your account. Your transaction should be completed in 10-25 seconds, depending on Internet traffic. In some cases, it may take longer. If your browser supports JavaScript, a timer will count up from zero. Please be patient.

Are you concerned about using your credit card or check online? iTransact.com uses secure server technology with an authentic digital certificate from Verisign. 100% Safe and Secure.