Page Title

Pay Now - Billing Account

Provide Billing Account Information Module

This module displays the following elements:

• Module title text: Provide Billing Account Information
• Text: Billing Information
• Text and blank field for data entry: User Name Field
• Text and blank field for data entry: Email Address Amount Field
• Text and blank field for data entry: *Billing Account Number Field
• Text and blank field for data entry: *Service Number Field
• Text and link: Submit
  Link action: Submits the data and displays the Pay Now - Select Payment Type page. For details, see Pay Now - Select Payment Type Page Elements.
• Text and link: Cancel
  Link action: Cancels the action and displays the Login page.
• Text: *Required Fields

Page Title

Pay Now - Select Payment Type

Billing Information Module

This module displays the following elements:

• Module title text: Billing Information
• Text: Billing Information
• Text: Mailing Address
• Text and data: User Name Name
• Text and data: Address Line 1 Address line 1
• Text and data: Address Line 2 Address line 2
• Text and data: City City
• Text and data: State State
• Text and data: Postal Code Postal code
• Text and data: Country Country
• Text: Billing Account
• Text and data: Account Number Account number
• Text and data: Service Number Service number
• Text and data: Current Amount Due Amount

Select a Payment Option Module

This module displays the following elements:

• Module title text: Select a Payment Option
• Text and drop-down list: *Select a Payment Method List
• Text and data: Payment Date Date

Bank Account Information Module

This module displays the following elements:

• Module title text: Bank Account Information
• Text and blank field for data entry: *Bank Name Field
• Text and drop-down list: *Account Type List
• Text and blank field for data entry: *Payment Amount Field
• Text and blank field for data entry: *Routing Number Field
• Text and blank field for data entry: *Account Number Field
• Text and blank field for data entry: *Confirm the Account Number Field
• Graphic: Bank check routing and account numbers.
• Text: *Required Field
• Button: Next
  Action: Displays the Pay Now - Payment Type - Confirmation page. For details, see Pay Now - Payment Type - Confirmation Page Elements.
• Button: Cancel
  Action: Cancels the action and displays the Pay Now - Billing Account page. For details, see Pay Now - Billing Account Page Elements page.

Provide Your Credit Card Information Module

This module displays the following elements:

• Module title text: Provide Your Card Information
• Text and blank field for data entry: *First Name on Credit Card Field
• Text and blank field for data entry: *Last Name on Credit Card Field
• Text and blank field for data entry: *Street Address Field
• Text and blank field for data entry: Apt./Suite Number Field
• Text and blank field for data entry: *City Field
• Text and drop-down list: *Country List
• Text and drop-down list: *State List
• Text and blank field for data entry: *Postal Code Field
• Text and drop-down list: *Credit Card Type List
• Text and blank field for data entry: Email Address Field
• Text and blank field for data entry: *Payment Amount Field
• Text: *Required Fields
• Button: Next
  Action: If you have configured your implementation to charge convenience fees, then the Convenience Fee Confirmation page displays. For details, see Use Case: Editing a One-Time Payment Transaction. Otherwise, the Pay Now - Payment Type - Confirmation page displays. For details, see Pay Now - Payment Type - Confirmation Page Elements.
• Button: Cancel
  Action: Cancels the action and displays the Pay Now - Billing Account page. For details, see Pay Now - Billing Account Page Elements page.

Page Title

Displays one of the following titles:

• Pay Now - Bank Account - Confirmation
• Pay Now - Credit Card- Confirmation

Billing Information Module

This module displays the following elements:

• Module title text: Billing Information
• Text: Billing Information
• Text: Mailing Address
• Text and data: User Name Name
• Text and data: Address Line 1 Address line 1
• Text and data: Address Line 2 Address line 2
• Text and data: City City
• Text and data: State State
• Text and data: Postal Code Postal code
• Text and data: Country Country
• Text: Billing Account
• Text and data: Account Number Account number
• Text and data: Service Number Service number

Select Payment Option Module

This module displays the following elements:

• Module title text: Select a Payment Option
• Text and data: *Select a Payment Method Method
• Text and data: Payment Date Date

Bank Account Information Module (If selected)

This module displays the following elements:

• Module title text: Bank Account Information
• Text and data: Bank Name Name
• Text and data: Account Type List
• Text and data: Payment Amount Amount
• Text and data: Routing Number Routing number
• Text and data: Account Number Account number
• Button: Submit
  Action: Displays the Pay Now - Thank You page. For details, see Pay Now - Thank You Page Elements.
• >Button: Cancel
  Action: Cancels the action and displays the Pay Now - Select Payment Type page. For details, see Pay Now - Select Payment Type Page Elements.
• Text: *Required Field

Credit Card Information Module (If selected)

This module displays the following elements:

• Module title text: Provide Your Credit Card Information
• Text and data: First Name on Credit Card First name
• Text and data: *Last Name on Credit Card Last name
• Text and data: *Street Address Address
• Text and data: Apt./Suite Number Number
• Text and data: City City
• Text and data: Country Country
• Text and data: State State
• Text and data: Postal Code Postal code
• Text and data: Credit Card Type Type
• Text and data: Email Address Address
• Text and data: Payment Amount Amount
• (If a convenience fee is configured) Convenience Fee Amount
• (If a convenience fee is configured) Text and data: Total Payment Amount Amount

Security Information Module

This module displays the following elements:

• Module title text: Enter Security Information
• Text and blank field for data entry: *Credit Card Number Field
• Text and blank field for data entry: *Expiration Date: (MM/YYYY) Field
• Text and blank field for data entry: *CVV Code Field
• Text: CVV Code is used for validation purpose only
• Text: *Required Fields
• Button: Submit
  Action: Displays the Pay Now - Thank You page. For details, see Pay Now - Thank You Page Elements.
• Button: Cancel
  Action: Cancels the action and displays the Pay Now - Select Payment Type page. For details, see Pay Now - Select Payment Type Page Elements.

Page Title

Pay Now - Thank You

Pay Now - Thank You Module

This module displays the following elements:

• Text: Success Message
• Text and data: Thank you for your payment. It is currently being processed. Your Payment ID is Payment ID
• Text: To ensure maximum protection of your personal information, it is recommend that you close your browser.
• Text and link: Login
  Link target: Displays the Login page. For details, see Login Page Elements.