test custom payments paypal and stripe

DO NOT USE – Custom Payments

This field is hidden when viewing the form

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

Name(Required)

First Last

Email(Required)

Payment Amount (in US dollars)(Required)

Please explain what payment is for:(Required)

Which training is this connected to?(Required)

If selecting “other” please list date and location.

March 20-26, 2023 – Scotts Valley, CA

April-17-23, 2023 – Menla Retreat Center in Phoenicia, New York

Other

Total

Credit Card

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country