1 [% PROCESS "default/opac/parts/header.tt2";
2 PROCESS "default/opac/parts/misc_util.tt2";
3 WRAPPER "default/opac/parts/myopac/main_base.tt2";
5 myopac_main_page = "pay";
7 # XXX When we get no parameters, we're in "pay everything" mode.
8 # When we get paramters, they refer to the fines that we'll be paying
10 <div id="pay_fines_now">
11 <table id='oils-selfck-cc-payment-table'>
14 <td><div style="width:129px;"></div></td>
15 <td><div style="width:195px;"></div></td>
16 <td><div style="width:324px;"></div></td>
19 <td colspan='2'><strong>Billing Information</strong></td>
20 <td rowspan='13' valign='top'>
21 Selected fines you are paying for:
22 <table cellpadding="0" cellspacing="5" border="0">
29 <strong>Amount</strong>
33 <tbody id="selectedFines">
37 <div id='oils-selfck-cc-payment-summary'>
39 <strong>$<span></span></strong>
42 Click <strong>Cancel</strong> to go back and (un)select
48 <td><input jsId='oilsSelfckCCFName' /></td>
52 <td><input jsId='oilsSelfckCCLName' /></td>
55 <td>Street Address</td>
56 <td><input jsId='oilsSelfckCCStreet' /></td>
60 <td><input jsId='oilsSelfckCCCity' /></td>
63 <td>State or Province</td>
64 <td><input jsId='oilsSelfckCCState' /></td>
67 <td>ZIP or Postal Code</td>
68 <td><input jsId='oilsSelfckCCZip' /></td>
71 <td colspan='2'><strong>Credit Card Information</strong></td>
73 <!-- Technically not needed since card type is derived from the CC number
77 <select jsId='oilsSelfckCCType' required='true'>
78 <option value='VISA'>VISA</option>
79 <option value='MasterCard'>MasterCard</option>
80 <option value='American Express'>American Express</option>
86 <td>Credit Card #</td>
87 <td><input jsId='oilsSelfckCCNumber' /></td>
91 <div style="position:absolute;">
92 <div style="position:relative;left:80px;">
94 src="[% ctx.media_prefix %]/images/question-mark.png" /></a>
100 <input jsId='oilsSelfckCCCVV' />
104 <td>Exipration Month</td>
106 <select jsId='oilsSelfckCCMonth'>
107 <option value='01' selected='selected'>January</option>
108 <option value='02'>February</option>
109 <option value='03'>March</option>
110 <option value='04'>April</option>
111 <option value='05'>May</option>
112 <option value='06'>June</option>
113 <option value='07'>July</option>
114 <option value='08'>August</option>
115 <option value='09'>September</option>
116 <option value='10'>October</option>
117 <option value='11'>November</option>
118 <option value='12'>December</option>
123 <td>Expiration Year</td>
125 <select jsId='oilsSelfckCCYear'>
126 <option value='2011'>2011</option>
127 <option value='2012'>2012</option>
128 <option value='2013'>2013</option>
129 <option value='2014'>2014</option>
130 <option value='2015'>2015</option>
131 <option value='2016'>2016</option>
132 <option value='2017'>2017</option>
133 <option value='2018'>2018</option>
134 <option value='2019'>2019</option>
139 <td>Edit Billing Address</td>
141 <input jsId='oilsSelfckEditDetails'/>
145 <td colspan='2' align="center">
146 <button jsId='oilsSelfckCCSubmit'>
154 [% INCLUDE "default/opac/myopac/main_refund_policy.tt2" %]