1 files changed, 52 insertions, 0 deletions
diff --git a/fs_selfservice/FS-SelfService/cgi/make_payment.html b/fs_selfservice/FS-SelfService/cgi/make_payment.html
new file mode 100644
index 0000000..e454647
--- /dev/null
+++ b/fs_selfservice/FS-SelfService/cgi/make_payment.html
@@ -0,0 +1,52 @@
+<%= $url = "$selfurl?session=$session_id;action="; ''; %>
+<%= include('header', 'Make a payment') %>
+
+<FORM NAME="OneTrueForm" METHOD="POST" ACTION="<%=$selfurl%>" onSubmit="document.OneTrueForm.process.disabled=true">
+<INPUT TYPE="hidden" NAME="session" VALUE="<%=$session_id%>">
+<INPUT TYPE="hidden" NAME="action" VALUE="payment_results">
+<TABLE BGCOLOR="#cccccc">
+<TR>
+  <TH ALIGN="right">Amount&nbsp;Due</TH>
+  <TD COLSPAN=7>
+    <TABLE><TR><TD BGCOLOR="#ffffff">
+      $<%=sprintf("%.2f",$balance)%>
+    </TD></TR></TABLE>
+  </TD>
+</TR>
+<TR>
+  <TH ALIGN="right">Payment&nbsp;amount</TH>
+  <TD COLSPAN=7>
+    <TABLE><TR><TD BGCOLOR="#ffffff">
+      $<INPUT TYPE="text" NAME="amount" SIZE=8 VALUE="<%=sprintf("%.2f",$balance)%>">
+    </TD></TR></TABLE>
+  </TD>
+</TR><TR>
+  <TH ALIGN="right">Card&nbsp;type</TH>
+  <TD COLSPAN=7>
+    <SELECT NAME="card_type"><OPTION></OPTION>
+      <%= foreach ( keys %card_types ) {
+            $selected = $card_type eq $card_types{$_} ? ' SELECTED' : '';
+            $OUT .= qq(<OPTION$selected VALUE="). $card_types{$_}. qq(">$_\n);
+      } %>
+    </SELECT>
+  </TD>
+</TR>
+<%= include('card') %>
+<TR>
+  <TD COLSPAN=8>
+    <INPUT TYPE="checkbox" <%= $save_unchecked ? '' : 'CHECKED' %> NAME="save" VALUE="1">
+    Remember this card and billing address
+  </TD>
+</TR><TR>
+  <TD COLSPAN=8>
+    <INPUT TYPE="checkbox"<%= $payby eq 'CARD' ? ' CHECKED' : '' %> NAME="auto" VALUE="1" onClick="if (this.checked) { document.OneTrueForm.save.checked=true; }">
+    Charge future payments to this card automatically
+  </TD>
+</TR>
+</TABLE>
+<BR>
+<INPUT TYPE="hidden" NAME="paybatch" VALUE="<%=$paybatch%>">
+<INPUT TYPE="submit" NAME="process" VALUE="Process payment"> <!-- onClick="this.disabled=true"> -->
+</FORM>
+
+<%= include('footer') %>