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Next Steps: Install the PayPal Checkout Add-On

To accept payments on this form you will need to install the PayPal Checkout payment add-on. Important: Delete this tip before you publish the form.

Your Market is (QR testing only - will be hidden field):

Choose A Package*

Entry Package - $250/mo.*

Large Package - $500/mo.*

* includes up to 625 captures per month.

* includes up to 1,500 captures per month.

Pixel Information

Company Name*

Domain where pixel will be placed?*

What emails should receive reports? (at least one email is required)

Email 1*

Email 2

Email 3

Email 4

Customer Information

Contact Person*

First Last

Phone Number*

Company Address*

Street Address Address Line 2 City State ZIP Code

Billing

Billing Address

Same as company address

Total

This is a recurring transaction. You will be billed the rate of the package selected each month for as long as you maintain the service. You may cancel the service at any time.

Payment Method

Credit Card

Please check your Stripe API Settings. Click the "Connect with Stripe" button to use Stripe.

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