Merge branch 'master' of git.freeside.biz:/home/git/freeside
[freeside.git] / fs_selfservice / FS-SelfService / cgi / make_thirdparty_payment.html
1 <%= include('header', 'Make a payment') %>
2 <%= if ( $error ) {
3   $OUT .= qq!<FONT SIZE="+1" COLOR="#ff0000">$error</FONT><BR><BR>!;
4 } ''; %>
5
6 <FORM NAME="OneTrueForm" METHOD="POST" ACTION="<%=$selfurl%>" 
7 onSubmit="document.OneTrueForm.process.disabled=true">
8 <INPUT TYPE="hidden" NAME="action" VALUE="post_thirdparty_payment">
9 <INPUT TYPE="hidden" NAME="payby_method" VALUE="<%= $payby_method %>">
10 <TABLE BGCOLOR="#cccccc">
11 <TR>
12   <TH ALIGN="right">Balance&nbsp;due</TH>
13   <TD COLSPAN=7>
14     <SPAN STYLE="background-color: #ffffff;">$<%=sprintf("%.2f", $balance)%>
15   </TD>
16 </TR>
17 <TR>
18   <TH ALIGN="right">Payment&nbsp;amount</TH>
19   <TD COLSPAN=7>
20     $<INPUT TYPE="text" NAME="amount" SIZE=8 VALUE="<%=sprintf("%.2f", $balance)%>">
21   </TD>
22 </TR>
23 <TR><TH></TH>
24 <TD><INPUT TYPE="submit" NAME="process" VALUE="Process payment">
25 </FORM>
26
27 <SCRIPT TYPE="text/javascript" SRC="overlibmws.js"></SCRIPT>
28 <SCRIPT TYPE="text/javascript" SRC="overlibmws_iframe.js"></SCRIPT>
29 <SCRIPT TYPE="text/javascript" SRC="overlibmws_draggable.js"></SCRIPT>
30 <SCRIPT TYPE="text/javascript" SRC="overlibmws_crossframe.js"></SCRIPT>
31 <SCRIPT TYPE="text/javascript" SRC="iframecontentmws.js"></SCRIPT>
32
33 <%= include('footer') %>