- <TR>
- <TD ALIGN="right">Card number</TD>
- <TD>
- <TABLE>
- <TR>
- <TD>
- <INPUT TYPE="text" NAME="payinfo" SIZE=20 MAXLENGTH=19 VALUE="<%$payinfo%>"> </TD>
- <TD>Exp.</TD>
- <TD>
- <SELECT NAME="month">
-% for ( ( map "0$_", 1 .. 9 ), 10 .. 12 ) {
-
- <OPTION<% $_ == $month ? ' SELECTED' : '' %>><% $_ %>
-% }
-
- </SELECT>
- </TD>
- <TD> / </TD>
- <TD>
- <SELECT NAME="year">
-% my @a = localtime; for ( $a[5]+1900 .. $a[5]+1915 ) {
-
- <OPTION<% $_ == $year ? ' SELECTED' : '' %>><% $_ %>
-% }
-
- </SELECT>
- </TD>
- </TR>
- </TABLE>
- </TD>
- </TR>
- <TR>
- <TD ALIGN="right">CVV2</TD>
- <TD><INPUT TYPE="text" NAME="paycvv" VALUE="<% $paycvv %>" SIZE=4 MAXLENGTH=4>
- (<A HREF="javascript:void(0);" onClick="overlib( OLiframeContent('../docs/cvv2.html', 480, 352, 'cvv2_popup' ), CAPTION, 'CVV2 Help', STICKY, AUTOSTATUSCAP, CLOSECLICK, DRAGGABLE ); return false;">help</A>)
- </TD>
- </TR>
- <TR>
- <TD ALIGN="right">Exact name on card</TD>
- <TD><INPUT TYPE="text" SIZE=32 MAXLENGTH=80 NAME="payname" VALUE="<%$payname%>"></TD>
- </TR><TR>
- <TD ALIGN="right">Card billing address</TD>
- <TD>
- <INPUT TYPE="text" SIZE=40 MAXLENGTH=80 NAME="address1" VALUE="<%$address1%>">
- </TD>
- </TR><TR>
- <TD ALIGN="right">Address line 2</TD>
- <TD>
- <INPUT TYPE="text" SIZE=40 MAXLENGTH=80 NAME="address2" VALUE="<%$address2%>">
- </TD>
- </TR><TR>
- <TD ALIGN="right">City</TD>
- <TD>
- <TABLE>
- <TR>
- <TD>
- <INPUT TYPE="text" NAME="city" SIZE="12" MAXLENGTH=80 VALUE="<%$city%>">
- </TD>
- <TD>State</TD>
- <TD>
- <SELECT NAME="state">
-% for ( @states ) {
-
- <OPTION<% $_ eq $state ? ' SELECTED' : '' %>><% $_ %>
-% }
-
- </SELECT>
- </TD>
- <TD>Zip</TD>
- <TD>
- <INPUT TYPE="text" NAME="zip" SIZE=11 MAXLENGTH=10 VALUE="<%$zip%>">
- </TD>
- </TR>
- </TABLE>
- </TD>
- </TR>
-% } elsif ( $payby eq 'CHEK' ) {
-% my( $payinfo1, $payinfo2, $payname, $ss, $paytype, $paystate,
-% $stateid, $stateid_state )
-% = ( '', '', '', '', '', '', '', '' );
-% if ( $cust_main->payby =~ /^(CHEK|DCHK)$/ ) {
-% $cust_main->paymask =~ /^([\dx]+)\@([\dx]+)$/i
-% or die "unparsable payinfo ". $cust_main->payinfo;
-% ($payinfo1, $payinfo2) = ($1, $2);
-% $payname = $cust_main->payname;
-% $ss = $cust_main->ss;
-% $paytype = $cust_main->getfield('paytype');
-% $paystate = $cust_main->getfield('paystate');
-% $stateid = $cust_main->getfield('stateid');
-% $stateid_state = $cust_main->getfield('stateid_state');