Y Champions

Advanced Redirect

The patron will be redirect to the following pages based on the authorized result.

Important Note:

The redirect pages have to be secure otherwise no redirect will occur.
If your server is offline for any reason the redirect will fail, resulting in error. If the patron experiences a page not found based on your server’s availability it may result to double charges

Use complete URL including https://

Success landing page * :

Declined landing page * :

The following URL parameters are included in the response and may be used on the landing page via custom programming:

Example Success URL:
https://yourpageurl.com/success-page?on=123456&result=success&response=authorized&t=totalamount&refid=referenceid&trk=tracker

on = OrderNumber
result = success
response = authorized
t = totalamount
refid = referenceid
trk = tracker

Example Decline URL:
https://yourpageurl.com/decline-page?on=123456&result=failure&response=dcl&t=totalamount

on = OrderNumber
result = failure
response = dcl
t = totalamount

Thank you for supporting your Y! Please enter payment information below to complete your gift.

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Billing and Contact Information

First Name: *

Middle Initial:

Last Name: *

Email: *

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Address: *

City: *

State: *

Province:

Zip/PostalCode: *

Phone:*

Make this donation anonymously

Display my Name as:

Your public posted comment:

Full Name

Y Champions Information

Team:

Fundraiser:

Honor/Memorial Gifts

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In Honor Of In Memory Of Tribute To

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Payment Details

Credit Card Bank Account

By clicking [accept], you authorize YMCA of Metro Atlanta to debit the bank account specified for any amount owed for charges arising from this charge. You may amend or cancel this authorization at any time by providing notice to YMCA of Metro Atlanta with 30 (thirty) days notice.

You further authorize YMCA of Metro Atlanta to debit your bank account as part of your recurring commitment. Payments that fall outside of the regular debits authorized above will only be debited after your authorization is obtained.

Name on Card: *

Credit Card Number: *

Card Verification (CVV): *

Expiration Date: *

CardExpirationYear

Invoice Number:

Purchase Order Number:

Name: *

Reference Number:

Charge me on: Payment will be processed and your card will be charged on this date

Advanced Redirect

Your donation:

Honor/Memorial Gifts

You will be charged:

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