PAYEMENT PAGE IDEA Blank Form (#6)Δ First NameLast NameCOMPANY mobile NumberDESIGNATIONEmailhandicapHome club- Select -Option delhi1Option 2delhi 2Item 12Item 11Item 10Item 9Item 8Item 7Item 6Item 14Item 13Item 5Item 4Item 3cityPackage - Select -Option 1Option 2Pay with Card (Stripe)Stripe test mode activatedSubmit Form