First Name:(Required.)

Surname:(Required.)

PayFast Merchant ID:(Required.)

Email associated with your PayFast account:(Required.)

Affected Website URL:(Required.)

Current Magento Version: 
Example: Magento Open Source Greater Than 1.9.4.1(Required.)

I hereby confirm that I have updated the aforementioned website to a patched version of Magento(Required.)

Yes

No