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<%= 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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