MIKEH / mvend200 / sample / pages / ord / enter_cc.html 

            

              
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<HTML>
<HEAD>
[framebase _self]
<TITLE>Enter your payment info</TITLE>
</HEAD>
[body 1]
<CENTER>
<H1>Credit Card Information</H1>
<FORM ACTION="[process-target _self secure]" METHOD="POST">
<input type="hidden" name="mv_doit" value="refresh">
<input type="hidden" name="mv_orderpage" value="ord/enter_cc">
<input type="hidden" name="mv_order_profile" value="3">
[if validcc [value cc_no] [value cc_exp_m]/[value cc_exp_y] [value cc_type]]
  [set valid_cc]yes[/set]
[else]
  [set valid_cc][/set]
[/else]
[/if]
[if scratch valid_cc]
  <input type=checkbox name=cc_no value=""> Change credit card info<BR>
  <input type=hidden name=valid_cc value="yes">
  <P>
  <I>(A valid <B>[value cc_type]</B> number is on file.<BR>
  If you need to change it, check the "<B>Change</B>" box <B>above</B><BR>
  and click the <B>Change</B> button <B>below</B>.)</I>
  <P>
[else]
  <input type=hidden name=valid_cc value="no">
  <B>Credit Card:</B>
        <input type="radio" name="cc_type"
         value="Visa" [checked cc_type visa]>
         Visa
         
    <input type="radio" name="cc_type"
         value="Mastercard" [checked cc_type mastercard]>
         Mastercard
    <input type="radio" name="cc_type"
         value="Amex" [checked cc_type amex]>
         American Express
<P>  
  [[if value cc_no !~ /^$|NOT_VALID/]
        <P>
        <BLINK><FONT COLOR=RED>
        Credit card information not valid<BR>
        </FONT></BLINK>
        <P>
        Please check the information you entered and see that the correct
        card type, expiration date, and number are entered.<P>
  [/if]]
  Card Number <input type="text" name="cc_no" value="[value cc_no]" size=19>
  Expires
        <SELECT name="cc_exp_m">
                <OPTION VALUE=1 [selected cc_exp_m 1]> January
                <OPTION VALUE=2 [selected cc_exp_m 2]> February
                <OPTION VALUE=3 [selected cc_exp_m 3]> March
                <OPTION VALUE=4 [selected cc_exp_m 4]> April
                <OPTION VALUE=5 [selected cc_exp_m 5]> May
                <OPTION VALUE=6 [selected cc_exp_m 6]> June
                <OPTION VALUE=7 [selected cc_exp_m 7]> July
                <OPTION VALUE=8 [selected cc_exp_m 8]> August
                <OPTION VALUE=9 [selected cc_exp_m 9]> September
                <OPTION VALUE=10 [selected cc_exp_m 10]> October
                <OPTION VALUE=11 [selected cc_exp_m 11]> November
                <OPTION VALUE=12 [selected cc_exp_m 12]> December
        </SELECT>
        <SELECT name="cc_exp_y">
                <OPTION VALUE=96 [selected cc_exp_y 96]> 1996
                <OPTION VALUE=97 [selected cc_exp_y 97]> 1997
                <OPTION VALUE=98 [selected cc_exp_y 98]> 1998
                <OPTION VALUE=99 [selected cc_exp_y 99]> 1999
                <OPTION VALUE=00 [selected cc_exp_y 00]> 2000
                <OPTION VALUE=01 [selected cc_exp_y 01]> 2001
                <OPTION VALUE=02 [selected cc_exp_y 02]> 2002
        </SELECT>
[/else]
[/if]
<CENTER>
[if scratch valid_cc]
<input type="image" name="mv_todo.submit"
        BORDER=0 SRC="next.gif">
<input type="image" name="mv_submit"
        BORDER=0 SRC="change.gif">
[else]
<input type="image" name="mv_submit"
        BORDER=0 SRC="validate.gif">
[/else]
[/if]
</CENTER>
<form>
<P ALIGN=CENTER>
[[buttonbar 0]]
</body> </html>