No products in the cart.
This is a test form
<input name="UnitPrice1" type="hidden" id="UnitPrice1" value="0" size="10" />
<input name="ItemID1" type="hidden" id="ItemID1" value="1" />
<input name="ItemName1" type="hidden" id="ItemName1" value="EventPreAuth" />
<input name="Quantity1" type="hidden" id="Quantity1" value="1" />
<input name="UnitDeductible1" type="hidden" id="UnitDeductible1" value="100%" /></td>
</tr>
</table></td>
</tr>
<tr>
<td><strong>Personal Information</strong></td>
</tr>
<tr>
<td><table width="100%" border="0" cellspacing="2" cellpadding="2">
<tr>
<td>First name:</td>
<td><input name="BillingFirstName" type="text" id="BillingFirstName" value="" size="30" /></td>
</tr>
<tr>
<td>Last name:</td>
<td><input name="BillingLastName" type="text" id="BillingLastName" value="" size="30" /></td>
</tr>
<tr>
<td>Phone number:</td>
<td><input name="BillingPhone" type="text" id="BillingPhone" value="" size="30" /></td>
</tr>
<tr>
<td>Email address:</td>
<td><input name="BillingEmail" type="text" id="BillingEmail" value="" size="40" /></td>
</tr>
</table></td>
</tr>
<tr>
<td><strong>Billing Information</strong></td>
</tr>
<tr>
<td><table width="100%" border="0" cellspacing="2" cellpadding="2">
<tr>
<td>Address 1:</td>
<td><input name="BillingAddress1" type="text" id="BillingAddress1" value="" size="40" /></td>
</tr>
<tr>
<td>Address 2 (optional):</td>
<td><input name="BillingAddress2" type="text" id="BillingAddress2" value="" size="40" /></td>
</tr>
<tr>
<td>City:</td>
<td><input name="BillingCity" type="text" id="BillingCity" value="" size="40" /></td>
</tr>
<tr>
<td>Country:</td>
<td>
<select name="BillingCountryCode" size="1" id="BillingCountryCode">
<option value="840">United States of America</option>
<option value="004">Afghanistan</option>
<option value="008">Albania</option>
<option value="012">Algeria</option>
<option value="016">American Samoa</option>
<option value="020">Andorra</option>
<option value="024">Angola</option>
<option value="010">Antarctica</option>
<option value="028">Antigua and Barbuda</option>
<option value="032">Argentina</option>
<option value="051">Armenia</option>
<option value="533">Aruba</option>
<option value="036">Australia</option>
<option value="040">Austria</option>
<option value="031">Azerbaijan Rep.</option>
<option value="044">Bahamas </option>
<option value="048">Bahrain</option>
<option value="050">Bangladesh</option>
<option value="052">Barbados</option>
<option value="112">Belarus</option>
<option value="056">Belgium</option>
<option value="084">Belize</option>
<option value="204">Benin</option>
<option value="060">Bermuda</option>
<option value="064">Bhutan</option>
<option value="068">Bolivia</option>
<option value="070">Bosnia</option>
<option value="072">Botswana</option>
<option value="076">Brazil</option>
<option value="096">Brunei</option>
<option value="100">Bulgaria</option>
<option value="854">Burkina Faso</option>
<option value="108">Burundi</option>
<option value="116">Cambodia</option>
<option value="120">Cameroon</option>
<option value="124">Canada</option>
<option value="132">Cape Verde Islands</option>
<option value="136">Cayman Islands</option>
<option value="140">Central African Republic</option>
<option value="148">Chad</option>
<option value="152">Chile</option>
<option value="156">China People's Republic</option>
<option value="170">Columbia</option>
<option value="174">Comoros</option>
<option value="178">Congo</option>
<option value="184">Cook Islands</option>
<option value="188">Costa Rica</option>
<option value="191">Croatia</option>
<option value="192">Cuba</option>
<option value="196">Cyprus</option>
<option value="203">Czech Republic</option>
<option value="208">Denmark</option>
<option value="262">Djibouti</option>
<option value="214">Dominican Republic</option>
<option value="218">Ecuador</option>
<option value="818">Egypt</option>
<option value="222">El Salvador</option>
<option value="226">Equatorial Guinea Malabo</option>
<option value="232">Eritrea</option>
<option value="233">Estonia</option>
<option value="231">Ethiopia</option>
<option value="242">Fiji Islands</option>
<option value="246">Finland</option>
<option value="250">France</option>
<option value="254">French Guiana</option>
<option value="258">French Polynesia</option>
<option value="266">Gabon</option>
<option value="270">Gambia</option>
<option value="268">Georgia</option>
<option value="276">Germany</option>
<option value="288">Ghana</option>
<option value="292">Gibraltar</option>
<option value="300">Greece</option>
<option value="304">Greenland</option>
<option value="308">Grenada</option>
<option value="312">Guadeloupe</option>
<option value="316">Guam</option>
<option value="320">Guatemala</option>
<option value="324">Guinea</option>
<option value="328">Guyana</option>
<option value="332">Haiti</option>
<option value="340">Honduras</option>
<option value="344">Hong Kong</option>
<option value="348">Hungary</option>
<option value="352">Iceland</option>
<option value="356">India</option>
<option value="360">Indonesia</option>
<option value="364">Iran</option>
<option value="368">Iraq</option>
<option value="372">Ireland</option>
<option value="376">Israel</option>
<option value="380">Italy</option>
<option value="388">Jamaica</option>
<option value="392">Japan</option>
<option value="400">Jordan</option>
<option value="398">Kazakhstan</option>
<option value="404">Kenya</option>
<option value="296">Kiribati</option>
<option value="410">Korea, Republic of</option>
<option value="414">Kuwait</option>
<option value="417">Kyrgystan</option>
<option value="428">Latvia</option>
<option value="422">Lebanon</option>
<option value="426">Lesotho</option>
<option value="430">Liberia</option>
<option value="434">Libya</option>
<option value="438">Liechtenstein</option>
<option value="440">Lithuania</option>
<option value="442">Luxembourg</option>
<option value="446">Macao</option>
<option value="807">Macedonia</option>
<option value="450">Madagascar</option>
<option value="454">Malawi</option>
<option value="458">Malaysia</option>
<option value="462">Maldives</option>
<option value="466">Mali</option>
<option value="470">Malta</option>
<option value="584">Marshall Islands</option>
<option value="474">Martinique</option>
<option value="478">Mauritania</option>
<option value="480">Mauritius</option>
<option value="484">Mexico</option>
<option value="583">Micronesia</option>
<option value="498">Moldova</option>
<option value="492">Monaco</option>
<option value="496">Mongolia</option>
<option value="499">Montenegro</option>
<option value="500">Montserrat</option>
<option value="504">Morocco</option>
<option value="508">Mozambique</option>
<option value="104">Myanmar</option>
<option value="516">Namibia</option>
<option value="520">Nauru</option>
<option value="524">Nepal</option>
<option value="528">Netherlands</option>
<option value="530">Netherlands Antilles</option>
<option value="540">New Caledonia</option>
<option value="554">New Zealand</option>
<option value="558">Nicaragua</option>
<option value="562">Niger</option>
<option value="566">Nigeria</option>
<option value="570">Niue</option>
<option value="580">Northern Mariana Islands</option>
<option value="578">Norway</option>
<option value="512">Oman</option>
<option value="586">Pakistan</option>
<option value="585">Palau</option>
<option value="591">Panama</option>
<option value="598">Papua New Guinea</option>
<option value="600">Paraguay</option>
<option value="604">Peru</option>
<option value="608">Phillippines</option>
<option value="616">Poland</option>
<option value="620">Portugal</option>
<option value="634">Qatar</option>
<option value="642">Romania</option>
<option value="643">Russian Federation</option>
<option value="646">Rwanda</option>
<option value="654">Saint Helena</option>
<option value="659">Saint Kitts and Nevis</option>
<option value="666">Saint Pierre and Miquelon</option>
<option value="674">San Marino</option>
<option value="678">Sao Tome and Principe</option>
<option value="682">Saudi Arabia</option>
<option value="686">Senegal</option>
<option value="688">Serbia</option>
<option value="690">Seychelles</option>
<option value="694">Sierra Leone</option>
<option value="702">Singapore</option>
<option value="703">Slovakia</option>
<option value="705">Slovenia</option>
<option value="090">Solomon Islands</option>
<option value="706">Somalia</option>
<option value="710">South Africa</option>
<option value="724">Spain</option>
<option value="144">Sri Lanka</option>
<option value="736">Sudan</option>
<option value="740">Suriname</option>
<option value="748">Swaziland</option>
<option value="752">Sweden</option>
<option value="756">Switzerland</option>
<option value="760">Syria</option>
<option value="158">Taiwan</option>
<option value="762">Tajikistan</option>
<option value="834">Tanzania</option>
<option value="764">Thailand</option>
<option value="772">Tokelau</option>
<option value="768">Tonga</option>
<option value="780">Trinidad and Tobago</option>
<option value="788">Tunisia</option>
<option value="792">Turkey</option>
<option value="795">Turkmenistan</option>
<option value="798">Tuvalu</option>
<option value="800">Uganda</option>
<option value="804">Ukraine</option>
<option value="784">United Arab Emirates</option>
<option value="826">United Kingdom</option>
<option value="858">Uruguay</option>
<option value="860">Uzbekistan</option>
<option value="548">Vanuatu</option>
<option value="336">Vatican City</option>
<option value="862">Venzuela</option>
<option value="704">Vietnam</option>
<option value="876">Wallis and Futuna</option>
<option value="016">Western Samoa</option>
<option value="887">Yemen, People's Demo. Rep. Of</option>
<option value="807">Yugoslavia</option>
<option value="894">Zambia</option>
<option value="716">Zimbabwe</option>
</Select>
</td>
</tr>
<tr>
<td>State:</td>
<td>
<select name="BillingStateProvince" size="1" id="BillingStateProvince">
<option value="Select">Select</option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="Armed Forces- Africa">Armed Forces- Africa</option>
<option value="Armed Forces- Americas">Armed Forces- Americas</option>
<option value="Armed Forces- Canada">Armed Forces- Canada</option>
<option value="Armed Forces- Europe">Armed Forces- Europe</option>
<option value="Armed Forces- Middle East">Armed Forces- Middle East</option>
<option value="Armed Forces- Pacific">Armed Forces- Pacific</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Federated States of Micronesia">Federated States of Micronesia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Guam">Guam</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Palau">Palau</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virgin Islands- US">Virgin Islands- US</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
</select>
</td>
</tr>
<tr>
<tr>
<td>Zip code:</td>
<td><input name="BillingPostalCode" type="text" id="BillingPostalCode" value="" size="15" /></td>
</tr>
</table></td>
</tr>
<tr>
<td><strong>Payment Information</strong></td>
</tr>
<tr>
<td><table width="100%" border="0" cellspacing="2" cellpadding="2">
<tr>
<td>Name on Credit Card:</td>
<td><input name="NameOnCard" type="text" id="NameOnCard" value="" size="40" /></td>
</tr>
<tr>
<td>Credit card number:</td>
<td><input name="CardNumber" type="text" id="CardNumber" value="" size="40" /></td>
</tr>
<tr>
<td>CV2: </td>
<td><input name="Cvv2" type="text" id="Cvv2" value="" size="6" /></td>
</tr>
<tr>
<td>Expiration Date:</td>
<td><select name="ExpirationMonth" id="ExpirationMonth">
<option value="01">January</option>
<option value="02">February</option>
<option value="03">March</option>
<option value="04">April</option>
<option value="05">May</option>
<option value="06">June</option>
<option value="07">July</option>
<option value="08">August</option>
<option value="09">September</option>
<option value="10">October</option>
<option value="11">November</option>
<option value="12">December</option>
</select>
<select name="ExpirationYear" id="ExpirationYear">
<option value="21">2021</option>
<option value="22">2022</option>
<option value="23">2023</option>
<option value="24">2024</option>
<option value="25">2025</option>
<option value="26">2026</option>
<option value="27">2027</option>
<option value="28">2028</option>
<option value="29">2029</option>
<option value="30">2030</option>
<option value="31">2031</option>
<option value="32">2032</option>
<option value="33">2033</option>
<option value="34">2034</option>
</select>
</td>
</tr>
</table></td>
</tr>
<tr>
<td align="right">
<input type="hidden" name="OnSuccessUrl" id="OnSuccessUrl" value="https://tkga.org/authorized" />
<input type="hidden" name="OnDeclineUrl" id="OnDeclineUrl" value="https://tkga.org/declined" />
<input type="hidden" name="OnErrorUrl" id="OnErrorUrl" value="https://tkga.org/error" />
<input type="hidden" name="AccountGuid" id="AccountGuid" value="4a1c49a2-a582-4f94-8377-33704a710a6a" />
<input type="hidden" name="AccountID" id="AccountID" value="36285" />
<input type="hidden" name="ConnectCampaignAlias" id="ConnectCampaignAlias" value="" />
<input type="hidden" name="SendReceipt" id="SendReceipt" value="true" />
<input type="hidden" name="ReceiptTemplateGUID" id="ReceiptTemplateGUID" value="878a813c-cf69-45aa-ba8b-2dd26707940f" />
<input type="hidden" name="OrderMode" id="OrderMode" value="Production" />
<input type="hidden" name="TransactionType" id="TransactionType" value="PreAuthorization" />
<input name="PaymentType" type="hidden" id="PaymentType" value="CreditCard" />
<input name="Submit" type="submit" id="Submit" value="Submit PreAuthorization" />
</td>