X-Git-Url: http://git.freeside.biz/gitweb/?a=blobdiff_plain;f=fs_selfservice%2FFS-SelfService%2Fcgi%2Fmake_payment.html;h=645b68ec7064376e57ffa971efb8d026279daa4b;hb=74e058c8a010ef6feb539248a550d0bb169c1e94;hp=3522c086768de32cbc0f119085d9c817c01b0131;hpb=6ced9264b8ec79e4b460be90ede25ec72a7dfc16;p=freeside.git diff --git a/fs_selfservice/FS-SelfService/cgi/make_payment.html b/fs_selfservice/FS-SelfService/cgi/make_payment.html index 3522c0867..645b68ec7 100644 --- a/fs_selfservice/FS-SelfService/cgi/make_payment.html +++ b/fs_selfservice/FS-SelfService/cgi/make_payment.html @@ -1,32 +1,30 @@ -MyAccount -MyAccount

<%= $url = "$selfurl?session=$session_id;action="; ''; %> - -<%= include('myaccount_menu') %> -
-Make a payment

+<%= include('header', 'Make a payment') %> +
- - + - - + - - - +<%= include('discount_term') %> + + + - - - - - - - - - - - - - - - - - +<%= include('card') %> + + - @@ -112,8 +50,5 @@ -
Amount Due + Amount Due
$<%=sprintf("%.2f",$balance)%>
Payment amount + Payment amount
$">
Card type +
Card type
Card number - - - - - - - - -
- Exp. - - / - -
-
Exact name on card
Card billing address - -
Address line 2 - -
City - - - - - - - - -
- - State - - Zip - -
-
- - Remember this information +
+ NAME="save" VALUE="1"> + Remember this card and billing address
+ NAME="auto" VALUE="1" onClick="if (this.checked) { document.OneTrueForm.save.checked=true; }"> Charge future payments to this card automatically
-
-powered by freeside - +<%= include('footer') %>