Charge lines under a large total, then the company and payment at the bottom. No phone field and no logo.
The sample shows a large total, two charge lines, then subtotal, tax, and total. Under that it repeats the company, the street, the city, the card line, and the date and time, with #A129 at the right. The picture’s subtotal matches the two charge lines. The receipt you generate prints your descriptions and amounts, then a subtotal, a tax line, and a total that are not the sum of those lines.
The large total, the subtotal, and the tax are based on a single amount. This form does not have that amount field, so those figures stay at 0.00. The charge lines still print the amounts you type. Choose No tax and the tax line is left off. Any other label prints a tax line from that missing amount, which stays 0.00. #A129 is fixed text. There is no card-brand selector on this form.
This is a Standard template. A current Standard or PRO membership removes the membership watermark. If you are not signed in, the receipt still shows that watermark. After you make the receipt, the page offers a JPG download and a PDF of that same image.
The total and the subtotal do not add the lines. They use an amount field this form does not show. The lines themselves still print.