Gateway Surcharge Testing

First Name*

Email Address*

Product 1*

$100.00 Quantity

Product 2

$100.00 Quantity

Product 3

$100.00 Quantity

Product 4

$345.00 Quantity

Product 5

$456.00 Quantity

Product 6

$250.00 Quantity

Payment Type

Credit Card Cheque Interac / e-Transfer

Gateway Surcharge

GST

Total

Enter the code displayed*