WordPress.com Payment Request

User

opcanada

Product	Purchase Type	Note	Amount
wp-credits	Once-Off Payment	Paid credits to purchase opcanada.org	$26.00
Total: US$26.00

Payment Details

Name on card

Card number

Security code

Visa, MasterCard Back of card

American Express Front of card

Expiry

Address line 1

Address line 2

(optional)

City

Post code/Zip

Country

State