PAX S90 - Sample of Credit Return Receipt

Chapter 4
How to Do Transaction
NOTE: This document is CONFIDENTIAL and must be used exclusively for the operation of PAX programs. It may not be
duplicated, published, or disclosed without PAX prior written permission. 17
Sample of Credit Return receipt
Note
Please review the following samples of credit card return receipts.
................................
1-800-555-1234
Merchant Name
123 MAIN ST.
ANYTOWN, NY 11111
WWW.PAX.US
02/03/2011 11:11:19
Refund
Record # 8
Card Type: VISA
Account: ************6789
Entry: Manual
Amount: $119.00
Auth.Code: 123456
Response: Approved
I AGREE TO PAY ABOVE
TOTAL AMOUNT ACCORDING
TO CARD ISSURE AGREEMENT
(MERCHANT AGREEMENT IF
CREDIT VOUCHER)
X...............................
CARDHOLDER NAME
MERCHANT COPY
THANK YOU!
Please visit us
Again soon!
................................
1-800-555-1234
Merchant Name
123 MAIN ST.
ANYTOWN, NY 11111
WWW.PAX.US
C O P Y
02/03/2011 11:11:19
Refund
Record # 8
Card Type: VISA
Account: ************6789
Entry: Manual
Amount: $119.00
Auth.Code: 123456
Response: Approved
CUSTOMER COPY
THANK YOU!
Please visit us
Again soon!