1 <%= $url = "$selfurl?session=$session_id;action="; ''; %>
2 <%= include('header', 'Make a payment') %>
4 <FORM NAME="OneTrueForm" METHOD="POST" ACTION="<%=$selfurl%>" onSubmit="document.OneTrueForm.process.disabled=true">
5 <INPUT TYPE="hidden" NAME="session" VALUE="<%=$session_id%>">
6 <INPUT TYPE="hidden" NAME="action" VALUE="ach_payment_results">
7 <TABLE BGCOLOR="#cccccc">
9 <TD ALIGN="right">Amount Due</TD>
11 <TABLE><TR><TD BGCOLOR="#ffffff">
12 $<%=sprintf("%.2f",$balance)%>
17 <TD ALIGN="right">Payment amount</TD>
19 <TABLE><TR><TD BGCOLOR="#ffffff">
20 $<INPUT TYPE="text" NAME="amount" SIZE=8 VALUE="<%=sprintf("%.2f",$balance)%>">
24 <%= include('discount_term') %>
25 <%= include('check') %>
28 <INPUT TYPE="checkbox" <%= $save_unchecked ? '' : 'CHECKED' %> NAME="save" VALUE="1">
29 Remember this information
33 <INPUT TYPE="checkbox"<%= $payby eq 'CHEK' ? ' CHECKED' : '' %> NAME="auto" VALUE="1" onClick="if (this.checked) { document.OneTrueForm.save.checked=true; }">
34 Charge future payments to this account automatically
39 <INPUT TYPE="hidden" NAME="paybatch" VALUE="<%=$paybatch%>">
40 <INPUT TYPE="submit" NAME="process" VALUE="Process payment"> <!-- onClick="this.disabled=true"> -->
43 <%= include('footer') %>