You could probably come up with your own using an Excel Spread Sheet. Ours says at the very top Caputred Card Form then to the left of the sheet: Terminal Number:_______________; Terminal Location and Acquirer financial institution name:_______________. On the right of the page it says: Acquirer financial institution ABA number:___________________; City/State:______________. Then the column headers from left to right are: CCN/PAN, Date Captured, Cardholder Name, Capture Reason, Expiration Date, and Card Disposition. We have the customer sign under the Card Disposition if its one of our customers and we choose to return the card to them.
Hope this helps.
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Chiquita pero picosa.