1 <%= $url = "$selfurl?session=$session_id;action="; ''; %>
2 <%= include('header', 'Recharge with prepaid card') %>
4 <FORM NAME="OneTrueForm" METHOD="POST" ACTION="<%=$selfurl%>" onSubmit="document.OneTrueForm.process.disabled=true">
5 <INPUT TYPE="hidden" NAME="session" VALUE="<%=$session_id%>">
6 <INPUT TYPE="hidden" NAME="action" VALUE="recharge_results">
7 <TABLE BGCOLOR="#cccccc">
10 <TD ALIGN="right">Amount Due</TD>
12 <TABLE><TR><TD BGCOLOR="#ffffff">
13 $<%=sprintf("%.2f",$balance)%>
19 <TD ALIGN="right">Prepaid card number</TD>
21 <INPUT TYPE="text" NAME="prepaid_cardnum" SIZE=20 MAXLENGTH=19 VALUE="<%=$prepaid_cardnum%>">
26 <INPUT TYPE="hidden" NAME="paybatch" VALUE="<%=$paybatch%>">
27 <INPUT TYPE="submit" NAME="process" VALUE="Recharge"> <!-- onClick="this.disabled=true"> -->
30 <%= include('footer') %>