Global Mind LLC Payment Gateway
Name :
Order Id :
Address :
City :
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
-------------
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
-------------
Not Applicable
Country :
United States
-------------
Zip :
Phone :
-
Email Id :
Validity (yyyy-mm-dd):
Feedback1 (yyyy-mm-dd):
Feedback1 Status :
Happy
Sad
VM
--
Feedback2 (yyyy-mm-dd):
Feedback2 Status :
Happy
Sad
VM
--
Feedback3 (yyyy-mm-dd):
Feedback3 Status :
Happy
Sad
VM
--
Captured :
--No--
Yes
No
Chargeback
Refund
void
Service Agreement :
Yes
No
Chargeback :
Yes
Refund
Satisfaction Form :
Yes
No
payment_authorization :
Yes
No
Description :
Security Essentials
---None---
Network Security
Network Firewall
Avg
Mcafee
Kaspersky
Malware Bytes
Windows defender
Avast
Webroot
Operating System
---None---
Windows 7
Mac
Windows 8
Windows 8.1
Windows 10
Windows Vista
Chromebook
Warranty & Support
---None---
One Time Fix - $29.99
Other Software
Computer Serial No.
Securities
Labour Charge :
Yes
No
Agent Name :
-------
Zaina Gates
William
Trevor
Tom Parker
Steve
Sherry
Shawn Mendes
Sean tison
Sandy
Samm
Ruby Gibson
Ronnie
richard
michael hall
Michael
Mark j Morgan
leonard
Joy Bing
Joseph
Jordan
John
Jerry Hill
Jazz Dawson
James Wilson
James Jefferson
Jake
Jackson
Harry
Gloria
davidmiller
David Thompson
David Parker
Dave
Danish
Chris nelson
Charlie
Ben
Angel Brown
Technician Name :
Invoice :
--None--
GMIT
GMID
VIN
PRA
kan
vin
geo
Amount :
Read Terms&Conditions :
Terms&Conditions
NO
YES
Read Privacy Policy :
Privacy Policy
NO
YES
Other Details :
Payment Status :
SUCCESS
FAILURE
Payment Method
Chase Bank
Bank of America
E Cheque
Signature Bank
E Merchant
EMS
Card Number:
Expiry Date :
MMYY (0215)
CVV No- :
Payment Summary(Includes Shipping)
Text
Labour Charge(4%)
Tax(8%)
Total
Personal Details
Payment Details