X-Git-Url: http://git.freeside.biz/gitweb/?a=blobdiff_plain;f=fs_selfservice%2FFS-SelfService%2Fcgi%2Fmake_payment.html;h=defd4a5511c865254cf2eada04563dedb516508d;hb=ded0ab5cac02f099b387de360fb6dd6bd8cbb6b4;hp=1bbbe90b2b722c6ce4a74dac2d720a0cf1ed1c59;hpb=c8cccb4a92adceb943c635fe62dad0d034462ce0;p=freeside.git diff --git a/fs_selfservice/FS-SelfService/cgi/make_payment.html b/fs_selfservice/FS-SelfService/cgi/make_payment.html index 1bbbe90b2..defd4a551 100644 --- a/fs_selfservice/FS-SelfService/cgi/make_payment.html +++ b/fs_selfservice/FS-SelfService/cgi/make_payment.html @@ -1,31 +1,26 @@ -MyAccount -MyAccount

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

+<%= include('header', 'Make a payment') %> +
- - + + +<%= $tr_amount_fee %> + +<%= include('discount_term') %> + - - - - - + - - - - - - - - - - - - - - - - - +<%= include('card') %> + + - @@ -111,8 +46,5 @@ -
Amount Due + Amount Due
- $<%=sprintf("%.2f",$balance)%> + $<%=sprintf("%.2f",$balance)%>
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') %>