What type of receipt would you like to make? What type of receipt would you like to make? Receipt for a Single TransactionCustomized Blank Template Who will be issuing the receipt? Enter the name of the business or individual that will provide this receipt to their customer(s). Would you like to include any contact information on the receipt? Would you like to include any contact information on the receipt? YesNo For example, a business's mailing address, phone number, or website. What contact information would you like to include? What contact information would you like to include? Mailing AddressPhone NumberWebsiteE-MailFax Number Select all that apply. Mailing address: Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Phone number: Fax: Email address: Website URL: Enter the date of the transaction: Total Amount Paid: $ What payment method was used for this transaction? What payment method was used for this transaction? Credit CardCashCheckOther Payment Method: Would you like to include more details about the payment? Would you like to include more details about the payment? YesNo Such as the subtotal, discounts, shipping, taxes, total amount due, and/or remaining balance. What would you like to include? (Check all that apply) What would you like to include? (Check all that apply) SubtotalDiscountShippingTax (sales, VAT, etc.)Total Amount DueRemaining Balance After Payment (if any) Subtotal amount: $ Discount amount: $ Enter this as a dollar amount, NOT a percentage. Shipping: $ Tax: $ Total amount due: $ Remaining balance after payment: $ In addition to "Total amount paid," do you want to include any of the following fields on your receipt template? In addition to "Total amount paid," do you want to include any of the following fields on your receipt template? SubtotalDiscountShippingTax (sales tax, VAT, etc.)Total Amount DueRemaining Balance (after payment) Select all that apply. If none apply, leave these boxes blank. Would you like to enter an itemized description of the products or services sold? Would you like to enter an itemized description of the products or services sold? YesNot at this time Enter the itemized description: On each line, enter the quantity, item description, unit price, and total price for each item sold. What is the customer's name? Would you like to include the customer's contact information? Would you like to include the customer's contact information? YesNo What information would you like to include? What information would you like to include? Mailing AddressPhone Number Customer's address: Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Customer's phone number: Next Save Save and finish later