diff options
Diffstat (limited to 'fs_selfservice/FS-SelfService/cgi/recharge_prepay.html')
| -rw-r--r-- | fs_selfservice/FS-SelfService/cgi/recharge_prepay.html | 30 |
1 files changed, 30 insertions, 0 deletions
diff --git a/fs_selfservice/FS-SelfService/cgi/recharge_prepay.html b/fs_selfservice/FS-SelfService/cgi/recharge_prepay.html new file mode 100644 index 0000000..c716e82 --- /dev/null +++ b/fs_selfservice/FS-SelfService/cgi/recharge_prepay.html @@ -0,0 +1,30 @@ +<%= $url = "$selfurl?session=$session_id;action="; ''; %> +<%= include('header', 'Recharge with prepaid card') %> + +<FORM NAME="OneTrueForm" METHOD="POST" ACTION="<%=$selfurl%>" onSubmit="document.OneTrueForm.process.disabled=true"> +<INPUT TYPE="hidden" NAME="session" VALUE="<%=$session_id%>"> +<INPUT TYPE="hidden" NAME="action" VALUE="recharge_results"> +<TABLE BGCOLOR="#cccccc"> +<!-- +<TR> + <TD ALIGN="right">Amount Due</TD> + <TD> + <TABLE><TR><TD BGCOLOR="#ffffff"> + $<%=sprintf("%.2f",$balance)%> + </TD></TR></TABLE> + </TD> +</TR> +--> +<TR> + <TD ALIGN="right">Prepaid card number</TD> + <TD> + <INPUT TYPE="text" NAME="prepaid_cardnum" SIZE=20 MAXLENGTH=19 VALUE="<%=$prepaid_cardnum%>"> + </TD> +</TR> +</TABLE> +<BR> +<INPUT TYPE="hidden" NAME="paybatch" VALUE="<%=$paybatch%>"> +<INPUT TYPE="submit" NAME="process" VALUE="Recharge"> <!-- onClick="this.disabled=true"> --> +</FORM> + +<%= include('footer') %> |