• ID:
    {{form_submission.form_submission_ID}}
  • Date:
    Time:
    {{formatDateTime(form_submission.datetime, 'M/D/YYYY')}}
    {{formatDateTime(form_submission.datetime, 'h:mm A')}}
  • Invoiced:
    {{form_submission.total_billed / 100 | currency}}
  • Paid:
    {{form_submission.total_paid / 100 | currency}}
  • Balance:
    {{form_submission.outstandingBalance / 100 | currency}}
{{form_submission.removeSubmissionTXT || 'Remove Submission'}}

{{field_group.label || 'Still need to figure out field grouping'}}

No options have been created yet.

No options have been created yet.
{{option.label}}
No options have been created yet.
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{{form_submission.addTransactionData.processingTXT || 'Record Transaction'}}
{{form_submission.addTransactionData.processingTXT || 'Enter Card Number'}}
There is a processing fee of {{((form_submission.addTransactionData.amountToPayDisplayed * 0.03 * 100) + 30 + 100) / 100 | currency}} for this transaction.

The total amount the card will be charged is {{((form_submission.addTransactionData.amountToPayDisplayed * 1.03 * 100) + 30 + 100) / 100 | currency}}

Transaction ID: {{transaction.transaction_ID}}

$