Process Integrated Transaction FIRST NAME: INITIAL: LAST NAME: ADDRESS: CITY: STATE: ZIP: PHONE : ( ) - Last 4 digits of SSN: Card number Expiration Date Transaction Amount Street Address Zip Ship To Zip. 5 or 9 bytes, left justify, space fill Sales Tax AmountZero Fill, right justified with real decmal point. Must be all zeros on non taxable transactions. CID
FIRST NAME: INITIAL: LAST NAME: ADDRESS: CITY: STATE: ZIP: PHONE : ( ) - Last 4 digits of SSN: Card number Expiration Date Transaction Amount Street Address Zip Ship To Zip. 5 or 9 bytes, left justify, space fill Sales Tax AmountZero Fill, right justified with real decmal point. Must be all zeros on non taxable transactions. CID
ADDRESS:
CITY: STATE: ZIP:
PHONE : ( ) - Last 4 digits of SSN: