X-Git-Url: http://git.freeside.biz/gitweb/?p=freeside.git;a=blobdiff_plain;f=fs_selfservice%2FFS-SelfService%2Fcgi%2Fmake_payment.html;h=3bce67433ae5b854355fd2f99d8ef630efc6b787;hp=d469bddb61da3d345ddbc991281a7f2133c77e77;hb=0f7643c1af2d909e0c3172e5bec0c01855fca1b9;hpb=2c88b03550a72438bbd75ec7461d2c26fc797efc diff --git a/fs_selfservice/FS-SelfService/cgi/make_payment.html b/fs_selfservice/FS-SelfService/cgi/make_payment.html index d469bddb6..3bce67433 100644 --- a/fs_selfservice/FS-SelfService/cgi/make_payment.html +++ b/fs_selfservice/FS-SelfService/cgi/make_payment.html @@ -1,118 +1,60 @@ -MyAccount -MyAccount

<%= $url = "$selfurl?session=$session_id;action="; ''; %> -
-MyAccount
- -
-Make a payment

-
+<%= include('header', 'Make a payment') %> + + - + - - + - - + - - - +<%= include('discount_term') %> + + + - - - - - - - - - - - - - - - - - +<%= include('card') %> + + -
Amount Due + Amount Due
$<%=sprintf("%.2f",$balance)%>
Payment amount + Payment amount
- $"> +<%= + $amt = $balance; + $amt += $amt * $credit_card_surcharge_percentage/100 + if $credit_card_surcharge_percentage > 0; + ''; +%> + $">
Card type +
Card type
Card number - - - - - - - - -
- Exp. - - / - -
-
Exact name on card
Card billing address - -
Address line 2 - -
City - - - - - - - - -
- - State - - Zip - -
-
- - Remember this information +
+ NAME="save" VALUE="1"> + Remember this card and billing address
- NAME="CARD"> + + NAME="auto" VALUE="1" onClick="if (this.checked) { document.OneTrueForm.save.checked=true; }"> Charge future payments to this card automatically
- +
+ +
-
-
-powered by freeside - +<%= include('footer') %>