Pennsylvania Future Business Leaders of America
State Leadership Workshop
Credit Card Processing Form
If using a credit card for payment of SLW expenses, please complete and send this form to Bruce Boncal, Executive Director,
along with your SLW Registration and/or Lodging Forms, to email@example.com.
Please note that a 3% convenience fee will automatically be added to the amount charged to your credit card..
How to process a transaction using a credit card for payment:
1. Log on to www.pafbla.org.
2. Click the Credit Card Payments menu on the left side of the page.
3. Select the State Leadership Workshop Credit Card Processing Form.
4. Complete this Credit Card Processing Form by entering the "quantity" of each item you wish to
charge to your credit card. This spreadsheet formulas will calculate the amount due and will
automatically add the 3% convenience fee. Save your document.
5. While online, complete the PayPal form:
a. Enter the Name of Person Submitting the Payment
b. Enter the Name of School Affiliation
c Click Pay Now.
d. On the next page, in the "Item Price" text box, enter the subtotal amount to be charged to your
credit card from Line d below.
e. Click "Update." You should see the "Item" total PLUS tax. The 3% convenience fee shows up
as tax. NO tax has been charged.
The FBLA Products and Services Total will be displayed in USD. This figure represents the total amount (registration
and/or lodging) plus a 3% convenience fee that will be charged to your credit card. (Line F below)
# SLW Registration fees @ $ 35 per person equals ……………… $0.00 (a)
Saturday Night Lodging - November 3, 2012
# Rooms for Saturday Night Lodging @ $157.33 per room equals ….. $0.00 (b)
Sunday Night Lodging - November 4, 2012
# Rooms for Sunday Night Lodging @ $118.27 per room equals ….. $0.00 (c)
SUBTOTAL (add item a, b, c) = $0.00 (d)
Add 3% convenience fee (multiply d * .03) $0.00 (e)
TOTAL TO BE CHARGED TO CC.. $0.00 (f)
6. Choose a way to pay.
A. If you "Have a PayPal Account," Log in to your PayPal account.
B. If you "Don't have PayPal Account," you can pay as a guest. COMPLETE the form. CONTINUE.
(You will see an option for "BILL ME LATER" which is an instant line of credit giving more time
a. Follow directions on screen
b. Review & Continue
7. Enter your chapter name and sign the form. An electronic signature is fine.
8. Return this form with your chapter's SLW Registration and/or SLW Lodging form by email to:
Bruce Boncal, Executive Director @ firstname.lastname@example.org.
AUTHORIZATION: My signature below confirms that I have authorized my credit card to be charged for the amount
shown on Line F above.
Adviser's Name: Date: