1 <%= $url = "$selfurl?session=$session_id;action="; ''; %>
2 <%= include('header') %>
4 <FONT SIZE=4>Make a payment</FONT><BR><BR>
5 <FORM NAME="OneTrueForm" METHOD="POST" ACTION="<%=$selfurl%>" onSubmit="document.OneTrueForm.process.disabled=true">
6 <INPUT TYPE="hidden" NAME="session" VALUE="<%=$session_id%>">
7 <INPUT TYPE="hidden" NAME="action" VALUE="payment_results">
8 <TABLE BGCOLOR="#cccccc">
10 <TH ALIGN="right">Amount Due</TH>
12 <TABLE><TR><TD BGCOLOR="#ffffff">
13 $<%=sprintf("%.2f",$balance)%>
18 <TH ALIGN="right">Payment amount</TH>
20 <TABLE><TR><TD BGCOLOR="#ffffff">
21 $<INPUT TYPE="text" NAME="amount" SIZE=8 VALUE="<%=sprintf("%.2f",$balance)%>">
25 <TH ALIGN="right">Card type</TH>
27 <SELECT NAME="card_type"><OPTION></OPTION>
28 <%= foreach ( keys %card_types ) {
29 $selected = $card_type eq $card_types{$_} ? ' SELECTED' : '';
30 $OUT .= qq(<OPTION$selected VALUE="). $card_types{$_}. qq(">$_\n);
35 <%= include('card') %>
38 <INPUT TYPE="checkbox" CHECKED NAME="save" VALUE="1">
39 Remember this information
43 <INPUT TYPE="checkbox"<%= $payby eq 'CARD' ? ' CHECKED' : '' %> NAME="auto" VALUE="1" onClick="if (this.checked) { document.OneTrueForm.save.checked=true; }">
44 Charge future payments to this card automatically
49 <INPUT TYPE="hidden" NAME="paybatch" VALUE="<%=$paybatch%>">
50 <INPUT TYPE="submit" NAME="process" VALUE="Process payment"> <!-- onClick="this.disabled=true"> -->
53 <%= include('footer') %>