$merchantname		$merchantlogo
$paymenttoptext
Selected Products
Product	Price	Options	Qty	Cost
$proddescrip	$currencysym$prodprice	$prodopt1name $prodopt1val $prodopt2name $prodopt2val	$prodqty	$prodcost
Total Goods				$totalgoods
Tax				$totaltax
Shipping				$totalship
Order Total				$currencysym$totalorder
Customer Details
Title		Mr Mrs Ms Miss
Name of purchaser
E-mail Address		* Will be Sent Order Confirmation
Postal Address
Town / City
County
Post / Zip Code
Country
Phone Number
Fax Number
Delivery Details * If different to Payment Address
Address
Town / City
County
Post / Zip Code
Country
Card Details
Card Number
Type of Card		$creditcard_dd
Issue Number (UK only)
3 Digit Security Number On Reverse of Card (If Available)
Start Month / Year		01 02 03 04 05 06 07 08 09 10 11 12  /  99 00 01 02 03 04 05 06 07 08
Expiry Month / Year		01 02 03 04 05 06 07 08 09 10 11 12  /  05 06 07 08 09 10 11 12 13 14 15 16 17 18
$paymentbottomtext