test order form

1. CONTACT INFORMATION
ORDER SUMMARY
Product
Qty
Subtotal
SS-AA-SUBSCRIPTION-$4.99MONTHLY
$4.99
Total
$4.99
FUTURE PAYMENTS
After today's payment, this card will be charged
$4.99 every month
for SS-AA-SUBSCRIPTION-$4.99MONTHLY
NEXT
ENTER
2. BILLING INFORMATION
3. PURCHASE SUCCESS