[paytium name="Word lid" description="Lidmaatschap" amount="10" button_label="Nu betalen"]
[paytium_field type="email" label="E-mail" required="true" /]
[paytium_field type="name" label="Naam" required="true" /]
[paytium_field type="text" label="Adres" required="true" /]
[paytium_field type="text" label="Postcode" required="true" /]
[paytium_field type="text" label="Plaatsnaam" required="true" /]
[paytium_field type="textarea" label="Opmerking" required="false" /]
[paytium_total /]
[/paytium]