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

<%= include('discount_term') %> <%= include('card') %>

Amount Due	$<%=sprintf("%.2f",$balance)%>
Payment amount	<%= $amt = ''; if ( $balance > 0 ) { $amt = $balance; $amt += $amt * $credit_card_surcharge_percentage/100 if $credit_card_surcharge_percentage > 0; $amt = sprintf("%.2f",$amt); } ''; %> $
Card type	<%= foreach ( keys %card_types ) { $selected = $card_type eq $card_types{$_} ? ' SELECTED' : ''; $OUT .= qq($_\n); } %>
NAME="save" VALUE="1"> Remember this card and billing address
NAME="auto" VALUE="1" onClick="if (this.checked) { document.OneTrueForm.save.checked=true; }"> Charge future payments to this card automatically

<%= include('footer') %>