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Diffstat (limited to 'fs_selfservice/FS-SelfService/cgi/change_check_pay.html')
| -rw-r--r-- | fs_selfservice/FS-SelfService/cgi/change_check_pay.html | 23 |
1 files changed, 23 insertions, 0 deletions
diff --git a/fs_selfservice/FS-SelfService/cgi/change_check_pay.html b/fs_selfservice/FS-SelfService/cgi/change_check_pay.html new file mode 100644 index 000000000..7dd2583c4 --- /dev/null +++ b/fs_selfservice/FS-SelfService/cgi/change_check_pay.html @@ -0,0 +1,23 @@ +<%= include('header', 'Change ach payment information') %> + +<%= if ( $error ) { + $OUT .= qq!<FONT SIZE="+1" COLOR="#ff0000">Error: $error</FONT><BR><BR>!; + } ''; %> + +<FORM NAME="OneTrueForm" METHOD="POST" ACTION="<%=$selfurl%>" onSubmit="document.OneTrueForm.process.disabled=true"> + + <TABLE BGCOLOR="#cccccc"> + <INPUT TYPE="hidden" NAME="payby" VALUE="CHEK"> + <%= include('check') %> + <TR><TD COLSPAN=3> + <INPUT TYPE="checkbox" NAME="auto" VALUE="1">Charge future payments to this card automatically + </TD></TR> + </TABLE> + + <INPUT TYPE="hidden" NAME="action" VALUE="process_change_check_pay"> + <INPUT TYPE="hidden" NAME="custpaybynum" VALUE="<%=$custpaybynum%>"> + <BR> + <!-- onClick="this.disabled=true"> --> + <INPUT TYPE="submit" NAME="process" VALUE="Save payment information"> + +<%= include('footer') %>
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