--- /dev/null
+<TR>
+ <TD ALIGN="right">Card number</TD>
+ <TD COLSPAN=6>
+ <TABLE>
+ <TR>
+ <TD>
+ <INPUT TYPE="text" NAME="payinfo" SIZE=20 MAXLENGTH=19 VALUE="<? echo $payinfo ?>"> </TD>
+ <TD>Exp.</TD>
+ <TD>
+ <SELECT NAME="month">
+ <? $months = array( '01', '02', '03' ,'04', '05', '06', '07', '08', '09', '10', '11', '12' );
+ foreach ( $months AS $m ) {
+ ?>
+ <OPTION <? if ($m == $month) { echo 'SELECTED'; } ?>><? echo $m; ?>
+ <? } ?>
+ </SELECT>
+ </TD>
+ <TD> / </TD>
+ <TD>
+ <SELECT NAME="year">
+ <? $years = array( '2013', '2014', '2015', '2016', '2017', '2018', '2019', '2020', '2021', '2022', '2023' );
+ foreach ( $years as $y ) {
+ ?>
+ <OPTION <? if ($y == $year ) { echo 'SELECTED'; } ?>><? echo $y; ?>
+ <? } ?>
+ </SELECT>
+ </TD>
+ </TR>
+ </TABLE>
+ </TD>
+</TR>
+<? if ( $withcvv ) { ?>
+ <TR>
+ <TD ALIGN="right">CVV2 (<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>
+ <TD ALIGN="right">Exact name on card</TD>
+ <TD COLSPAN=6><INPUT TYPE="text" SIZE=32 MAXLENGTH=80 NAME="payname" VALUE="<? echo $payname; ?>"></TD>
+</TR>
+
+<? $lf = $freeside->mason_comp(array(
+ 'session_id' => $_COOKIE['session_id'],
+ 'comp' => '/elements/location.html',
+ 'args' => [
+ 'no_asterisks' , 1,
+ #'address1_label' , 'Card billing address',
+ 'address1_label' , 'Card billing address',
+ ],
+ ));
+ echo $lf['output'];
+?>