MyAccount

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=fdb411b114d95ad5288b68cafa6020315a661051;hpb=a1295d0682aa81a408abe06fcaa7c14440f6a2e2;p=freeside.git diff --git a/fs_selfservice/FS-SelfService/cgi/make_payment.html b/fs_selfservice/FS-SelfService/cgi/make_payment.html index fdb411b11..645b68ec7 100644 --- a/fs_selfservice/FS-SelfService/cgi/make_payment.html +++ b/fs_selfservice/FS-SelfService/cgi/make_payment.html @@ -1,33 +1,30 @@ -MyAccount -MyAccount

<%= $url = "$selfurl?session=$session_id;action="; ''; %> -

-MyAccount
- -

-Make a payment

+<%= include('header', 'Make a payment') %> +

- + - - + - - + - - - +<%= include('discount_term') %> + + + - - - - - - - - - - - - - - - - - +<%= include('card') %> + + -

Amount Due

$<%=sprintf("%.2f",$balance)%>

Payment amount

$">

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

- +