diff options
| author | jeff <jeff> | 2008-01-23 19:09:39 +0000 |
|---|---|---|
| committer | jeff <jeff> | 2008-01-23 19:09:39 +0000 |
| commit | 85ab12f0a3af468c0941ac255aa6074454ec76da (patch) | |
| tree | dc76e815ba93ee27bc56d7b7ac12ec254260cb6e /fs_selfservice/FS-SelfService/cgi/bill.html | |
| parent | f7c7bace6d630c902f6fbba55fab9058412ade07 (diff) | |
change service, billing, and payment info in selfservice
Diffstat (limited to 'fs_selfservice/FS-SelfService/cgi/bill.html')
| -rw-r--r-- | fs_selfservice/FS-SelfService/cgi/bill.html | 7 |
1 files changed, 7 insertions, 0 deletions
diff --git a/fs_selfservice/FS-SelfService/cgi/bill.html b/fs_selfservice/FS-SelfService/cgi/bill.html new file mode 100644 index 000000000..bbdf1f210 --- /dev/null +++ b/fs_selfservice/FS-SelfService/cgi/bill.html @@ -0,0 +1,7 @@ +<TR> + <TD ALIGN="right">P.O. number</TD> + <TD><INPUT TYPE="text" NAME="payinfo" SIZE=10 MAXLENGTH=20 VALUE="<%=$payinfo%>"></TD> +</TR><TR> + <TD ALIGN="right">Attention</TD> + <TD><INPUT TYPE="text" SIZE=32 MAXLENGTH=80 NAME="payname" VALUE="<%=$payname%>"></TD> +</TR> |