[stripe_form_begin test=true]
Payment Type:
What is your payment for? (select all that apply)
Total Amount
Retainer
Trial Fee
On-location Trial Surcharge
Balance
[stripe_form_standard_amount short=true]
Comment Box
[stripe_form_end]
[stripe_form_receipt]
Your Payment Has Been Received Successfully!
Thank You, {fname} {lname}. Your payment in the amount of ${amount} has been received successfully.
A email receipt has been sent to {email}.
Transaction ID: {id}
[/stripe_form_receipt]