ticket 1568 config options for new echeck fields and addition to selfservice interface

[freeside.git] / fs_selfservice / FS-SelfService / cgi / make_ach_payment.html
diff --git a/fs_selfservice/FS-SelfService/cgi/make_ach_payment.html b/fs_selfservice/FS-SelfService/cgi/make_ach_payment.html

new file mode 100644 (file)

index 0000000..83d36b9
--- /dev/null
+++ b/fs_selfservice/FS-SelfService/cgi/make_ach_payment.html
@@ -0,0 +1,111 @@
+<HTML><HEAD><TITLE>MyAccount</TITLE></HEAD>
+<BODY BGCOLOR="#eeeeee">
+<script language="JavaScript"><!--
+  var mywindow = -1;
+  function myopen(filename,windowname,properties) {
+    myclose();
+    mywindow = window.open(filename,windowname,properties);
+  }
+  function myclose() {
+    if ( mywindow != -1 )
+      mywindow.close();
+    mywindow = -1
+  }
+//--></script>
+<FONT SIZE=5>MyAccount</FONT><BR><BR>
+<%= $url = "$selfurl?session=$session_id;action="; ''; %>
+<%= include('myaccount_menu') %>
+<TD VALIGN="top">
+<FONT SIZE=4>Make a payment</FONT><BR><BR>
+<FORM NAME="OneTrueForm" METHOD="POST" ACTION="<%=$selfurl%>" onSubmit="document.OneTrueForm.process.disabled=true">
+<INPUT TYPE="hidden" NAME="session" VALUE="<%=$session_id%>">
+<INPUT TYPE="hidden" NAME="action" VALUE="ach_payment_results">
+<TABLE BGCOLOR="#cccccc">
+<TR>
+  <TD ALIGN="right">Amount&nbsp;Due</TD>
+  <TD>
+    <TABLE><TR><TD BGCOLOR="#ffffff">
+      $<%=sprintf("%.2f",$balance)%>
+    </TD></TR></TABLE>
+  </TD>
+</TR>
+<TR>
+  <TD ALIGN="right">Payment&nbsp;amount</TD>
+  <TD>
+    <TABLE><TR><TD BGCOLOR="#ffffff">
+      $<INPUT TYPE="text" NAME="amount" SIZE=8 VALUE="<%=sprintf("%.2f",$balance)%>">
+    </TD></TR></TABLE>
+  </TD>
+</TR><TR>
+  <TD ALIGN="right">Account&nbsp;type</TD>
+  <TD>
+    <SELECT NAME="paytype"><OPTION></OPTION>
+      <%= foreach ( @paytypes ) {
+            $selected = $paytype eq $_ ? ' SELECTED' : '';
+            $OUT .= qq(<OPTION$selected VALUE="$_">$_\n);
+      } %>
+    </SELECT>
+  </TD>
+</TD><TR>
+  <TD ALIGN="right">Account&nbsp;number</TD>
+  <TD><INPUT TYPE="text" NAME="payinfo1" SIZE=10 MAXLENGTH=20 VALUE="<%=$payinfo1%>"></TD>
+</TD><TR>
+  <TD ALIGN="right">ABA/Routing&nbsp;number</TD>
+  <TD><INPUT TYPE="text" NAME="payinfo2" SIZE=10 MAXLENGTH=9 VALUE="<%=$payinfo2%>"></TD>
+</TR><TR>
+  <TD ALIGN="right">Bank&nbsp;name</TD>
+  <TD><INPUT TYPE="text" SIZE=32 MAXLENGTH=80 NAME="payname" VALUE="<%=$payname%>"></TD>
+</TR><TR>
+  <%=
+    $OUT = '';
+    if ($show_paystate) {
+      $OUT .= qq!<TD ALIGN="right">Bank state</TD><TD><SELECT NAME="paystate">!;
+      for ( @states ) {
+        $OUT .= '<OPTION'. ($_ eq $paystate ? ' SELECTED' : '' ). ">$_\n";
+      }
+      $OUT .= '</SELECT></TD></TR><TR>';
+    }
+  %>
+  <%=
+    $OUT = '';
+    if ($show_ss) {
+      $OUT .= '<TD ALIGN="right">Account&nbsp;holder<BR>Social&nbsp;';
+      $OUT .= 'security&nbsp;or&nbsp;tax&nbsp;ID&nbsp;#</TD><TD>';
+      $OUT .= qq!<INPUT TYPE="text" SIZE=32 MAXLENGTH=80 NAME="ss" VALUE="$ss">!;
+      $OUT .= '</TD></TR><TR>';
+    }
+  %>
+  <%=
+    $OUT = '';
+    if ($show_stateid) {
+      $OUT .= '<TD ALIGN="right">';
+      $OUT .= qq!Account&nbsp;holder<BR>$stateid_label</TD><TD>!;
+      $OUT .= qq!<INPUT TYPE="text" SIZE=32 MAXLENGTH=80 NAME="stateid" VALUE="$stateid"></TD>!;
+      $OUT .= qq!<TD ALIGN="right">$stateid_state_label</TD>!;
+      $OUT .= '<TD><SELECT NAME="stateid_state">';
+      for ( @states ) {
+        $OUT .= '<OPTION'. ($_ eq $stateid_state ? ' SELECTED' : '' ). ">$_\n";
+      }
+      $OUT .='</SELECT></TD></TR><TR>';
+    }
+  %>
+  <TD COLSPAN=2>
+    <INPUT TYPE="checkbox" CHECKED NAME="save" VALUE="1">
+    Remember this information
+  </TD>
+</TR><TR>
+  <TD COLSPAN=2>
+    <INPUT TYPE="checkbox"<%= $payby eq 'CHEK' ? ' CHECKED' : '' %> NAME="auto" VALUE="1" onClick="if (this.checked) { document.OneTrueForm.save.checked=true; }">
+    Charge future payments to this account automatically
+  </TD>
+</TR>
+</TABLE>
+<BR>
+<INPUT TYPE="hidden" NAME="paybatch" VALUE="<%=$paybatch%>">
+<INPUT TYPE="submit" NAME="process" VALUE="Process payment"> <!-- onClick="this.disabled=true"> -->
+</FORM>
+</TD></TR></TABLE>
+<HR>
+<FONT SIZE="-2">powered by <a href="http://www.sisd.com/freeside">freeside</a></FONT>
+</BODY></HTML>
+