Is something like this possible or something like it?

Let me know thanks

Hi there,

Thank you for reaching out!

Can you kindly give us more information about your concern? Are you creating an app and do you want it to look like what you sent us? Or do you simply want to create a form?

Let us know so we can assist you accordingly.

Can an app like above be created on jotform. Is there a way to accept mobile payments or apple pay like it is shown above?

Hi,

You can create a form that collects payment. To create an order form, please follow this guide: https://www.jotform.com/help/165-setting-up-your-first-order-form/

After that, you need Stripe payment integration so you can use Apple Pay as payment. Here's a guide for more information: https://www.jotform.com/blog/accept-payments-using-apple-pay/

Please give it a try and let us know if you have any questions.