Mini Shell
Mini Shell
| Direktori : /home/serb/public_html/ |
| Current File : /home/serb/public_html/upgrade_payment.php |
<? session_start();
include("lib/globals.php");
include("lib/common.php");
include("lib/functions.php");
?>
<? include "includes/header_top.php";?>
<script language="javascript">
function validate()
{
if(document.f22.fName.value=="")
{
alert("Enter your First Name");
document.f22.fName.focus();
return false;
}
if(document.f22.lstName.value=="")
{
alert("Enter your Last Name");
document.f22.lstName.focus();
return false;
}
if(document.f22.locDtls.value=="")
{
alert("Enter your Address");
document.f22.locDtls.focus();
return false;
}
if(document.f22.zipCode.value=="")
{
alert("Enter your Zip Code");
document.f22.zipCode.focus();
return false;
}
if(document.f22.city.value=="")
{
alert("Enter Your City.");
document.f22.city.focus();
return false;
}
if(document.f22.state.value=="")
{
alert("Enter Your State.");
document.f22.state.focus();
return false;
}
/*if(document.f22.cridNo.value=="")
{
alert("Enter Your Creadit Card No.");
document.f22.cridNo.focus();
return false;
}
if(document.f22.expMonth.value=="")
{
alert("Enter Your Expairy Month.");
document.f22.expMonth.focus();
return false;
}
if(document.f22.year.value=="")
{
alert("Enter Your Expiry Year.");
document.f22.year.focus();
return false;
}
if(document.f22.scCode.value=="")
{
alert("Enter Your CVC Code.");
document.f22.scCode.focus();
return false;
}
if(document.f22.security_code.value=="")
{
alert("Enter Security Code");
document.f1.security_code.focus();
return false;
}*/
}
</script>
<body>
<? include "includes/header.php";?>
<div class="hdr_foo">
<div class="hrd_ftmenu">
</div>
</div>
<div class="main_bg">
<div style="height:32px;"></div>
<div style="width:1000px; margin:0 auto;">
<div class="menuleft_contain">
<? include "includes/acount_leftcontent.php";?>
</div>
<div class="acountright_contain">
<div class="acccmid1_header">PAYMENT CHECKOUT </div>
<div class="accountrightct_mid">
<div class="small_space"></div>
<div class="profile_data">
<form action="upgrdpayment_process.php?userid=<?=$_GET['userid']?>" method="post" name="f22" style="padding: 5px;" onSubmit="return validate();">
<input name="submit_form" value="1" type="hidden">
<table border="0" cellpadding="0" cellspacing="6" style="width:650px; margin:0 auto; margin-top:15px;">
<tr>
<td colspan="3" class="text_fnt">Secure Checkout<br/><img src="images/post_ad_divider.png"/></td>
</tr>
<tr>
<td class="jointext222"> First Name :</td>
<td><input name="fName" id="fname" class="main_input3333" type="text"></td>
<td></td>
</tr>
<tr>
<td class="jointext222"> Last Name :</td>
<td><input name="lstName" id="lname" class="main_input3333" type="text"></td>
<td></td>
</tr>
<tr>
<td class="jointext222"> Address :</td>
<td><input name="locDtls" id="locdtls" class="main_input3333" type="text"></td>
<td></td>
</tr>
<tr>
<td class="jointext222"> Zip/Postal Code :</td>
<td><input name="zipCode" id="zipcode" class="main_input3333" type="text"></td>
<td></td>
</tr>
<tr>
<td class="jointext222"> City :</td>
<td><input name="city" id="city" class="main_input3333" type="text"></td>
<td></td>
</tr>
<tr>
<td class="jointext222"> State :</td>
<td><input name="state" id="state" class="main_input3333" type="text"></td>
<td></td>
</tr>
<?php /*?> <tr>
<td class="jointext222"> Credit Card Number :</td>
<td><input name="cridNo" id="criedno" class="main_input3333" type="text"><p><img src="images/Credit_card_logos.png" /></p></td>
<td></td>
</tr>
<tr>
<td class="jointext222"> Expiration Date :</td>
<td> <select name="expMonth" class="drp_img3" style="width:80px;">
<option value="">Month</option>
<option value="January">1: Jan</option>
<option value="February">2: Feb</option>
<option value="March">3: Mar</option>
<option value="April">4: Apr</option>
<option value="May">5: May</option>
<option value="June">6: Jun</option>
<option value="July">7: Jul</option>
<option value="August">8: Aug</option>
<option value="September">9: Sep</option>
<option value="October">10: Oct</option>
<option value="November">11: Nov</option>
<option value="December">12: Dec</option>
</select>
Year <select name="year" class="drp_img3" style="width:80px;">
<option value="">Year</option>
<?
for($i=2014; $i<=2040; $i++){
?>
<option value="<?=$i?>"><?=$i?></option>
<? }?>
</select>
</td>
<td></td>
</tr>
<tr>
<td class="jointext222"> Security Code(CVC2) :</td>
<td><input name="scCode" id="sccode" class="main_input3333" type="text"></td>
<td></td>
</tr>
<tr>
<td class="jointext222"> Security Image :</td>
<td><img src="CaptchaSecurityImages.php?width=100&height=40&characters=5" /><br/>
<input id="security_code" name="security_code" class="main_input3333" type="text" /><br/>
<span>
Letters are not case-sensitive
</span>
</td>
<td></td>
</tr> <?php */?>
<tr>
<td></td>
<td>
<input type="hidden" name="prmadPrice" value="<?=$_POST['prmadPrice'] ?>">
<input src="images/agree_btn.png" type="image" height="32" style="margin-left:20px;"/>
</td>
<td></td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
</tr>
</table>
</form>
<br class="spacer" />
</div>
<br class="spacer" />
</div>
</div>
<br class="spacer" />
</div>
<br/>
</div>
<? include "includes/footer.php";?>