Health and Lifestyle Templates - Direct Payment Form

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Use This Template

This payment form is a template for ACH authorization.  It is designed to capture the data fields required for authorizing an ACH transfer.  You can modify it and customize to your ACH or other transfer needs. You can fully customize this template using FormTitan landing page builder.

Desktop
Tablet
Mobile
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installation for Google Site

Please follow these simple steps

  • Click on the Edit Page button on your page in Google Site
  • Click on Insert Menu
  • Click on More Gadgets link. Now the Setup your gadget form appears
  • Click on Add gadget by URL link.
  • Copy the following URL and paste it in the Enter URL box https://formtitan.com/google/gadgets/.xml
  • Click on Add button
  • Provide Gadget Settings
    • Your Email address
    • Size of form
    • Theme
  • See the Preveiw of the gadget
  • Click on OK button