Dropped Transaction Info
This is a form to be able to collect data for dropped transactions. 
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Organization Name *
Transaction Date *
MM
/
DD
/
YYYY
Transaction Time *
Time
:
Transaction Amount *
PAX serial number *
Bridge Pay Transaction Number
Bridge Pay Invoice Number *
Bridge Pay Response Code *
Payment Method Type *
Credit Card Payment Method *
Partial Payment *
Submit
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This form was created inside of SMCo Thrift Store Consultants.

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