PayPal Pro Form Example

John and Suzanne,
This is an example page that I put together for you.

Right here we’d put some text to support how wonderful the site is and why they need to subscribe today.

Then you see space to create your username and pwd.

Click one of the radio buttons beneath the credit cards to reveal the place where you enter your cc information.

Just click the Submit button at the bottom and we’re done! No need for the user to leave Coops during the entire transaction. This is a really big deal for us.

Checkout Options

$0.02 USD / Monthly ( recurring charge, for ongoing access )

Coupon Code

Have a Coupon Code? (please enter it here)

Create Profile

First Name *

Last Name *

Email Address *

Username (lowercase letters and/or numbers) *

Password (type this twice please) *

password strength indicator

Billing Method

Card Number (no dashes or spaces) *

Card Expiration Date (mm/yyyy) *

Card Verification Code (3-4 digits) * need help?

Card Start Date (mm/yyyy), or Issue Number *

Billing Address

Street Address *

City / Town *

State / Province *

Country *

Postal / Zip Code *

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PayPal Pro Form Example

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