<%= $url = "$selfurl?session=$session_id;action="; ''; %> <%= include('header') %> Make a payment

<%= include('card') %>
Amount Due
$<%=sprintf("%.2f",$balance)%>
Payment amount
$">
Card type
Remember this information
NAME="auto" VALUE="1" onClick="if (this.checked) { document.OneTrueForm.save.checked=true; }"> Charge future payments to this card automatically

<%= include('footer') %>