We can create any fields we need here and this information will be stored to our database.
When they proceed to Moneris any needed infomation will be passed on.
The credit card information will be entered on the Moneris site so it is never stored on our server.

Email
Phone
Note

Do not put real credit card information into the form that follows.
If you want to do a successful test, use the following information:
Card Number:-5454545454545454
Expiry Date:-12/2011