Authorize.net payment forms
Certified Authorize.net Developer & Solutions provider

The below are used for online payments on you website. Each one is installed by Lennie Core. Certified authoirze.net solutions. They can be customized for your needs/look & feel. They are mobile device friendly!

SSL Certificates are small data files that digitally bind a cryptographic key to an organization's details. When installed on a web server, it activates the padlock and the https protocol (over port 443) and allows secure connections from a web server to a browser. Must be installed on your server. Cost about $250 per yr.

Explanations of Authoirze.net functions:

ARB - Automated Recurring Billing
               Web site payment form or a proprietary business application-allowing online                customers or sales representatives using a business application to select and                submit subscription- or installment-based payments.
               (automated credit cart charge authorize.net does all the work)

CIM - Customer Information Manager
               You can manage customer profiles and issue transactions manually from
               within the Merchant Interface, or integrate your Web site or other application
               using an Application Programming Interface (API). Additionally, in the
               Merchant Interface you can view and search for customer profiles as well as
               review a profile's transaction history.

PCI Compliance = No credit card information is stored on your                              server.

AIM - Advanced Integration Method
          AIM allows merchants to host their own secure payment form on a website,
               mobile device, etc., and send transactions to the payment gateway using an
               end-to-end secure sockets layer (SSL) connection.

SIM - Server Integration Method
             SIM is an ideal integration solution because merchants are not required to collect, transmit, or store sensitive cardholder information to process transactions. Additionally, SIM does not require merchants to purchase and install a Secure Sockets Layer (SSL) digital certificate, reducing the complexity of securely handling and storing cardholder information, simplifying compliance with the Payment Card Industry (PCI) Data Security Standard.

Invoices Emailed: (Directly from Authorize.net)
Customer receives 1, invoice receipt directly from authoirze.net.
You receive 1, for payment made from authoirze.net.

Short Form

Invoices Emailed: (Directly from Authorize.net)
Customer receives 1, invoice receipt directly from authoirze.net.
You receive 1, for payment made from authoirze.net.

Long Form

Fully Customizable for your needs
(SSL Not Required)

User input/selections for registration of classes, events or programs.

Scripts calculate input/selections during the process. Actual payment form is hosted at authoirze.net so no credit card data is stored on your server. The clients card is charged instantly.

Client and Merchant receive receipt directly from Authoirze.net

Invoices Emailed: (Directly from Authorize.net)
Customer receives 1, invoice receipt directly from authoirze.net.
You receive 1, for payment made from authoirze.net.

(Recommended)
(SSL Certificate Required on your server)

This Automatic recurring billing form uses Authorize.net AIM that will validate the card used Auth_Only for $0.25 in real time so there are no surprises when the initial recurring transaction occurs at around 2:00a.m. The $0.25 is never taken from the customer's account and falls off in about 48-72 hours. The transaction will occur at Authorize.net at 2:00am and the customer's monthly amount is charged for the first installment/payment. (Trial Amount) Additional charges are made on the same day of each month for the monthly amount after that. Once completed successfully they are taken to another short form to enter their monthly amount and the number of months they would like it to recur. The initial amount can be amount you need. Some other fields can be added.

Invoices Emailed: (Directly from Authorize.net)
Customer receives 1, invoice receipt directly from authoirze.net.
You receive 1, 0.25 Authoirzatiin only for ccard verification.
You receive 1, at around 2:00a.m. for the intial charge amount.

(Recommended)
(SSL Certificate Required on your server)

Same as form #04 only designed for insurance company premium payments or medical institutions.

Invoices Emailed: (Directly from Authorize.net)
Customer receives 1, invoice receipt directly from authoirze.net.
You receive 1, 0.25 Authoirzatiin only for ccard verification.
You receive 1, at around 2:00a.m. for the intial charge amount.

Invoices Emailed: (Directly from Authorize.net)
Customer receives 1, invoice receipt directly from authoirze.net.
You receive 1, 0.25 Authoirzatiin only for ccard verification.
You receive 1, at around 2:00a.m. for the intial charge amount.

Customer Information Manager (CIM)
with Recurring Payments (ARB) & (AIM)
(SSL Certificate Required)

Creates an account in your Customer Information Manager. Where you can manage customer's payment methods, charge their credit card and other information associated with their account via your authorize.net control panel. Automatic Recurring Billing is not managed from CIM you must edit individual ARB accounts and subscriptions within your authoirze.net account Recurring Billing. This application creates: 1. Client within your authorize.net Customer Information Manager. 2. Recurring payments for this client with an intiial charge made the same day usually around 2:00am. The AIM only validates the credit card used during this process so there are no "card declined" when it processes at 2am.

Invoices Emailed: (Directly from Authorize.net)
Client: receives 1, invoice receipt directly from authoirze.net.
Merchant: receives 1, 0.00 Authoirzatiin only for ccard verification.
Merchant: receives 1, at around 2:00a.m. for the intial charge                  amount.

Customer Enters Initial Amount
Processes Amount Immediately Using Authorize.net AIM Method.
(Advanced Integration Method)
Automatically Creates Account in your Authorize.net CIM.
(Customer Information Manager)
(SSL Certificate Required)

Creates an account in your Customer Information Manager. Where you can manage customer's payment methods, charge their credit card and other information associated with their account. The AIM is used to create an initial charge amount to the customers credit card. This works well for the need to have a deposit made so you can apply additional charges via your Customer Information Manager at a later date.

Invoices Emailed:
Customer receives 1, invoice receipt directly from authoirze.net.
You receive 1, for 0.00 ValidateCustomerPaymentProfile.
You receive 1, for Initial Charge CIM Created Amount.

Online Payments
Account / Customer Number Verification Only
(SSL Not Required)
SSL Required to be HIPAA Compliant

Hospitals, doctor offices, medical offices, health care facilities use this allow their clients to make payments on bills. It uses customer numbers or account numbers. When an account/customer numbers are entered (up to 3 at a time) they are verified against a flat file list of just account numbers. You will need to ftp upload your customer data in a format specified during installation. The file is a flat file database separated with colons. It can be customized for your needs. This script validates by Account/Customer numbers. Can virtually be used for any business to allow customers to make a payment on their account. Prevents customers from paying on wrong accounts.

Invoices Emailed:
Client: receives 1, invoice receipt directly from authoirze.net.
Merchant: receives 1, reciept of payment made from authorize.net.

Verify Customer/Account Numbers
With Account Balances Shown
(SSL Not Required)
SSL Required to be HIPAA Compliant

Insurance companies, utilities and others use this to allow their customers to view their balance & make payments.

It uses customer numbers and invoice number that are verified during the initial process. You will need to ftp upload your customer data in a format specified during installation at lest weekly. The file is a flat file database separated with colons. It can be customized for your needs. This script validates by Account/Customer numbers. Unlimited number of accounts. Can virtually be used for any business to allow customers to view the balance on their account and make payments.

Invoices Emailed:
Client: receives 1, invoice receipt directly from authoirze.net.
Merchant: receives 1, reciept of payment made from authorize.net.

Account / Patient Information
(SSL Not Required)
SSL Required to be HIPAA Compliant

Hospitals, Urgent Care facilities and Doctor Offices use this to allow their clients to pay their balance or make payments without any verification requirements. This solution is very user friendly. The actual credit card payment form is on the authoirze.net server.

It requires customer account number and patient name & DOB.

No validation is made. Account number as the Invoice number and patient name with date of birth for better tracking and ease of applying payments to the correct account.

Invoices Emailed:
Client: receives 1, invoice receipt directly from authoirze.net.
Merchant: receives 1, reciept of payment with info. from authorize.net.