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path: root/fs_selfservice/FS-SelfService/cgi/make_payment.html
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<HTML><HEAD><TITLE>MyAccount</TITLE></HEAD>
<BODY BGCOLOR="#eeeeee"><FONT SIZE=5>MyAccount</FONT><BR><BR>
<%= $url = "$selfurl?session=$session_id;action="; ''; %>
<TABLE BORDER=0 CELLPADDING=4><TR><TD VALIGN="top" HEIGHT=384 BGCOLOR="#dddddd">
<A HREF="<%= $url %>myaccount">MyAccount</A><BR>
<!-- <A HREF="<%= $url %>other">SomethingElse</A><BR> -->
</TD><TD VALIGN="top">
<FONT SIZE=4>Make a payment</FONT><BR><BR>
<FORM METHOD="POST" ACTION="<%=$selfurl%>">
<INPUT TYPE="hidden" NAME="session" VALUE="<%=$session_id%>">
<INPUT TYPE="hidden" NAME="action" VALUE="process_payment">
Amount: <INPUT TYPE="text" VALUE="<%=sprintf("%.2f",$balance)%>"><BR><BR>
<INPUT TYPE="submit" VALUE="Process payment">
</FORM>
</TD></TR></TABLE>
<HR>
<FONT SIZE="-2">powered by <a href="http://www.sisd.com/freeside">freeside</a></FONT>
</BODY></HTML>