<%= include('header', 'Make a payment') %>
<%= if ($balance > 0) { $OUT .= < EOF } %> <%= include('discount_term') %> <%= include('check') %>
Amount Due
$money_char$balance
Payment amount
<%= $money_char %>
NAME="save" VALUE="1"> Remember this information
NAME="auto" VALUE="1" onClick="if (this.checked) { document.OneTrueForm.save.checked=true; }"> Charge future payments to this account automatically

<%= include('footer') %>