X-Git-Url: http://git.freeside.biz/gitweb/?a=blobdiff_plain;f=fs_selfservice%2FFS-SelfService%2Fcgi%2Fmake_payment.html;h=96a17ba4c227ef4d9af400320bea34a3c7ed77eb;hb=99100d7e0d0b22a1844dde88acd529e79d096463;hp=a0fb5c3f309f10b5ddc25f3abdfe27a614a88f41;hpb=83ce2076d59c3c27beb78dd5892b2da99fd60ec1;p=freeside.git diff --git a/fs_selfservice/FS-SelfService/cgi/make_payment.html b/fs_selfservice/FS-SelfService/cgi/make_payment.html index a0fb5c3f3..96a17ba4c 100644 --- a/fs_selfservice/FS-SelfService/cgi/make_payment.html +++ b/fs_selfservice/FS-SelfService/cgi/make_payment.html @@ -1,33 +1,29 @@ -MyAccount -MyAccount

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

- - + - - + - - + - - - - - - - - - - - - - - - - - +<%= include('card') %> + + - @@ -113,8 +49,5 @@ -
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="auto" VALUE="1" onClick="if (this.checked) { document.OneTrueForm.save.checked=true; }"> Charge future payments to this card automatically
-
-powered by freeside - +<%= include('footer') %>