change service, billing, and payment info in selfservice

[freeside.git] / fs_selfservice / FS-SelfService / cgi / make_payment.html

diff --git a/fs_selfservice/FS-SelfService/cgi/make_payment.html b/fs_selfservice/FS-SelfService/cgi/make_payment.html
index 64b1e00..89239c0 100644 (file)
--- a/fs_selfservice/FS-SelfService/cgi/make_payment.html
+++ b/fs_selfservice/FS-SelfService/cgi/make_payment.html
@@ -46,72 +46,9 @@
       } %>
     </SELECT>
   </TD>
-</TD><TR>
-  <TD ALIGN="right">Card&nbsp;number</TD>
-  <TD>
-    <TABLE>
-      <TR>
-        <TD>
-          <INPUT TYPE="text" NAME="payinfo" SIZE=20 MAXLENGTH=19 VALUE="<%=$payinfo%>"> </TD>
-        <TD>Exp.</TD>
-        <TD>
-          <SELECT NAME="month">
-            <%= for ( ( map "0$_", 1 .. 9 ), 10 .. 12 ) {
-                  $OUT .= '<OPTION'. ($_ == $month ? ' SELECTED' : ''). ">$_\n";
-            } %>
-          </SELECT>
-        </TD>
-        <TD> / </TD>
-        <TD>
-          <SELECT NAME="year">
-            <%= my @a = localtime; for ( $a[5]+1900 .. $a[5]+1915 ) {
-                  $OUT .= '<OPTION'. ($_ == $year ? ' SELECTED' : ''). ">$_\n";
-            } %>
-          </SELECT>
-        </TD>
-      </TR>
-    </TABLE>
-  </TD>
-</TR><TR>
-  <TD ALIGN="right">CVV2&nbsp;(<A HREF="javascript:myopen('cvv2.html','cvv2','toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=no,resizable=yes,copyhistory=no,width=480,height=288')">help</A>)</TD>
-  <TD><INPUT TYPE="text" NAME="paycvv" VALUE="" SIZE=4 MAXLENGTH=4></TD></TR>
-</TR><TR>
-  <TD ALIGN="right">Exact&nbsp;name&nbsp;on&nbsp;card</TD>
-  <TD><INPUT TYPE="text" SIZE=32 MAXLENGTH=80 NAME="payname" VALUE="<%=$payname%>"></TD>
-</TR><TR>
-  <TD ALIGN="right">Card&nbsp;billing&nbsp;address</TD>
-  <TD>
-    <INPUT TYPE="text" SIZE=40 MAXLENGTH=80 NAME="address1" VALUE="<%=$address1%>">
-  </TD>
-</TR><TR>
-  <TD ALIGN="right">Address&nbsp;line&nbsp;2</TD>
-  <TD>
-    <INPUT TYPE="text" SIZE=40 MAXLENGTH=80 NAME="address2" VALUE="<%=$address2%>">
-  </TD>
-</TR><TR>
-  <TD ALIGN="right">City</TD>
-  <TD>
-    <TABLE>
-      <TR>
-        <TD>
-          <INPUT TYPE="text" NAME="city" SIZE="12" MAXLENGTH=80 VALUE="<%=$city%>">
-        </TD>
-        <TD>State</TD>
-        <TD>
-          <SELECT NAME="state">
-            <%= for ( @states ) {
-              $OUT .= '<OPTION'. ($_ eq $state ? ' SELECTED' : '' ). ">$_\n";
-            } %>
-          </SELECT>
-        </TD>
-        <TD>Zip</TD>
-        <TD>
-          <INPUT TYPE="text" NAME="zip" SIZE=11 MAXLENGTH=10 VALUE="<%=$zip%>">
-        </TD>
-      </TR>
-    </TABLE>
-  </TD>
-</TR><TR>
+</TR>
+<%= include('card') %>
+<TR>
   <TD COLSPAN=2>
     <INPUT TYPE="checkbox" CHECKED NAME="save" VALUE="1">
     Remember this information