troubleshooting Question

getURL Javascript not working

Avatar of willnjen
willnjen asked on
Web Languages and StandardsJavaScriptHTML
9 Comments1 Solution695 ViewsLast Modified:
Hi Experts

I am embarrassed to ask this question because I am so lost, I don't know where to start.

I have a web page sent to me by support team at Paymate which is a credit card processing company similar to PayPal.  The page is an example of a form to collect details then send those to Paymate.  it concatenates the entries from the form into an address similar to this...

https://www.paymate.com/PayMate/ExpressPayment?mid=demonstration&amt=100.00¤cy=USD

Paymate will not help me fix the page.  I think there is a problem with the getURL function which gathers the details from the form.  Or there might be a problem with the form.

Normally I would try to track down the specific problem and ask a more focused question.  But I stuck with this one.  Can you look over the code and point out any major floors.  I presume this page works somewhere on the web otherwise why would the support team send it to me.

Attached is the code which can also be seen on http://www.willnjen.com/5hit/sample3.html 

Many thanks

Will
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml"><!-- InstanceBegin template="/Templates/index.dwt" codeOutsideHTMLIsLocked="false" -->
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<!-- InstanceBeginEditable name="doctitle" -->
<title>Sample Page for Paymate Integration</title>
<!-- InstanceEndEditable -->
<link href="00css/text.css" rel="stylesheet" type="text/css" />
<!-- InstanceBeginEditable name="head" -->
<script type="text/JavaScript">
<!--
function MM_preloadImages() { //v3.0
  var d=document; if(d.images){ if(!d.MM_p) d.MM_p=new Array();
    var i,j=d.MM_p.length,a=MM_preloadImages.arguments; for(i=0; i<a.length; i++)
    if (a[i].indexOf("#")!=0){ d.MM_p[j]=new Image; d.MM_p[j++].src=a[i];}}
}
 
function MM_swapImgRestore() { //v3.0
  var i,x,a=document.MM_sr; for(i=0;a&&i<a.length&&(x=a[i])&&x.oSrc;i++) x.src=x.oSrc;
}
 
function MM_findObj(n, d) { //v4.01
  var p,i,x;  if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
    d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
  if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n];
  for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document);
  if(!x && d.getElementById) x=d.getElementById(n); return x;
}
 
function MM_swapImage() { //v3.0
  var i,j=0,x,a=MM_swapImage.arguments; document.MM_sr=new Array; for(i=0;i<(a.length-2);i+=3)
   if ((x=MM_findObj(a[i]))!=null){document.MM_sr[j++]=x; if(!x.oSrc) x.oSrc=x.src; x.src=a[i+2];}
}
//-->
</script>
<script language="javascript">
<!--
// framebuster
 if (top.location != self.location) {
   top.location = self.location
 }
 
function gsPopUp(URL, w, h) {
  day = new Date();
  id = day.getTime();
  eval("page" + id + " = window.open(URL, '" + id + "', 'toolbar=0,scrollbars=1,location=0,statusbar=0,menubar=0,resizable=0,width=" + w + ",height=" + h + "');");
}
 
function focus_amt_other() {
  document.DonateNowForm.idonate_amts[(document.DonateNowForm.idonate_amts.length - 1)].checked = "0";
}
 
function blank_amt_other() {
  if (document.DonateNowForm.other_amt == null) return; // other_amt field not present; do nothing
  
  document.DonateNowForm.other_amt.value = "";
}
 
//-->
</script>
<script type="text/javascript">
//<![CDATA[
 
function rdo_OnClick(r){
	var ctlAmount=document.getElementById('PC635_txtAmount');
	var ctlAthon=document.getElementById('PC635_chkIsAthon');
	var ctlAmountReqVal=document.getElementById('PC635_ReqFldValidatorAmount');
	var ctlAmountCmpVal=document.getElementById('PC635_CmpValidatorAmount');
	var ctlAmountRegExVal=document.getElementById('PC635_RegExValidatorAmount');
	var ctlRequired=document.getElementById('PC635_lblAmtRequiredMarker');
      
      if (setGivingLevel(r) == -1) {
		ctlAmount.disabled=false;
		if (ctlAthon != null) {ctlAthon.disabled=false;}
		try {
			ctlAmountReqVal.enabled=true;
			ctlAmountCmpVal.enabled=true;
			ctlAmountRegExVal.enabled=true;
		} catch(e) {}
		ctlRequired.style.visibility='visible';
	} else {
		if (ctlAmount != null) {
			ctlAmount.disabled=true;
			ctlAmount.value='';
		}
		if (ctlAthon != null) {ctlAthon.disabled=true;}
		try {
			ctlAmountReqVal.enabled=false;
			ctlAmountCmpVal.enabled=false;
			ctlAmountRegExVal.enabled=false;
		} catch(e) {}
		if (ctlRequired != null) {ctlRequired.style.visibility='hidden';}
	}
}
 
function setGivingLevel(r){
	var ctlHidden=document.getElementById('PC635_HiddenID');
	var level=r.parentNode.attributes.getNamedItem('itemIndex').nodeValue
      ctlHidden.value=level
      return level
}
 
function DonationGiftAidHelp(){var sFeatures='WIDTH=510px,HEIGHT=425px,RESIZABLE=YES,SCROLLBARS=NO,TOOLBAR=NO,LEFT=5,TOP=20,location=No;status=No';var oPopUp=new PopUpDialogBB('~/Admin/DonationHelp.ascx', '_blank', sFeatures, '&mode=4');oPopUp.Show();}
 
 
function getURL()
{
   var targeturl="https://www.paymate.com/PayMate/ExpressPayment?mid=testuser";
   targeturl=targeturl+"&pmt_sender_email="+document._xclick.pmt_sender_email.value;
   targeturl=targeturl+"&pmt_contact_firstname="+document._xclick.pmt_contact_firstname.value;
   targeturl=targeturl+"&pmt_contact_surname="+document._xclick.pmt_contact_surname.value;
   targeturl=targeturl+"&pmt_contact_phone="+document._xclick.pmt_contact_phone.value;
   targeturl=targeturl+"&regindi_pcode="+document._xclick.regindi_pcode.value;
   targeturl=targeturl+"&pmt_country="+document._xclick.pmt_country.value;
   targeturl=targeturl+"&regindi_address1="+document._xclick.regindi_address1.value;
   targeturl=targeturl+"&regindi_address2="+document._xclick.regindi_address2.value;
   targeturl=targeturl+"&regindi_sub="+document._xclick.regindi_sub.value;
   targeturl=targeturl+"&regindi_county="+document._xclick.account_ccard_city.value;
   targeturl=targeturl+"&amt_editable="+document._xclick.amt_editable.value;
   targeturl=targeturl+"&return="+document._xclick.return.value;
   targeturl=targeturl+"&back="+document._xclick.back.value;
 
   if(document.getElementById('PC635_txtAmount').disabled==false)
   {
          targeturl=targeturl+"&amt="+document.getElementById('PC635_txtAmount').value;
   }
   else
   {
       for(var i=0;i<document._xclick.amt.length;i++)
       {
          if(document._xclick.amt[i].checked)
          {
              targeturl=targeturl+"&amt="+document._xclick.amt[i].value;
          }
       } 
   }
   window.open(targeturl, "", "", "");
   return false;
}
//]]>
</script>
 
<!-- InstanceEndEditable -->
<style type="text/css">
<!--
.style3 {color: #FFFFFF}
-->
</style>
</head>
 
<body> 
<form name="form1" method="post" action="" onsubmit="">                       
<table border="0" cellspacing="1" width="100%" height="107">
  <tr>
    <td width="100%" align="left" height="21" bgcolor="#FFFFFF" colspan="2">
 
      <hr size="0" color="#C0C0C0">
    </td>
 
  </tr>
  <tr>
    <td width="100%" align="left" height="21" bgcolor="#FFFFFF" colspan="2"><b><font face="Arial" size="3"><a name="Sample Page for Paymate Integration">Sample Page of Paymate Integration</a></font></b></td>
 
 
    <td width="100%" align="left" height="1" bgcolor="#FFFFFF" colspan="2"><img border="0" src="images/3x3.gif" width="3" height="3"></td>
  </tr>
  <tr>
    <td width="100%" align="right" height="21" bgcolor="#8CB8E3" colspan="2">&nbsp;</td>
 
  </tr>
  <tr>
    <td width="30%" align="left" height="21"><font face="Arial" size="2" color="#003366">Shopping Cart Amount Payable</font></td>
    <td width="70%" height="21"></td>
 
  </tr>
  <tr>
                <td id="PC635_thCaptionAmount" class="BBFieldCaption DonationFieldCaption" valign="top">
                    <font face="Arial" size="2">
 
                    Amount:</font></td>
		
                <td class="BBFieldControlCell DonationFieldControlCell">
                    <table id="PC635_tblAmount" class="taLeft" border="0" cellspacing="1">
			<tr>
 
				<td class="BBFieldControlCell DonationFieldControlCell"><span class="vaTop" itemIndex="11"><input id="PC635_rdo_11_5" type="radio" name="amt" value="25.00" onclick="rdo_OnClick(this);" checked /></span></td><td class="vaBottom BBFieldControlCell DonationFieldControlCell"><span><font size="2" face="Arial">$25.00</font></span></td>
			</tr><tr>
				<td class="BBFieldControlCell DonationFieldControlCell"><span class="vaTop" itemIndex="12"><input id="PC635_rdo_12_5" type="radio" name="amt" value="50.00" onclick="rdo_OnClick(this);" /></span></td><td class="vaBottom BBFieldControlCell DonationFieldControlCell"><span><font size="2" face="Arial">$50.00</font></span></td>
 
			</tr><tr>
				<td class="BBFieldControlCell DonationFieldControlCell"><span class="vaTop" itemIndex="13"><input id="PC635_rdo_13_5" type="radio" name="amt" value="75.00" onclick="rdo_OnClick(this);" /></span></td><td class="vaBottom BBFieldControlCell DonationFieldControlCell"><span><font face="Arial" size="2">$75.00</font></span></td>
			</tr><tr>
				<td class="BBFieldControlCell DonationFieldControlCell"><span class="vaTop" itemIndex="14"><input id="PC635_rdo_14_5" type="radio" name="amt" value="100.00" onclick="rdo_OnClick(this);" /></span></td><td class="vaBottom BBFieldControlCell DonationFieldControlCell"><span><font face="Arial" size="2">$100.00</font></span></td>
 
			</tr><tr>
				<td class="BBFieldControlCell DonationFieldControlCell"><span class="vaTop" itemIndex="15"><input id="PC635_rdo_15_5" type="radio" name="amt" value="150.00" onclick="rdo_OnClick(this);" /></span></td><td class="vaBottom BBFieldControlCell DonationFieldControlCell"><span><font face="Arial" size="2">$150.00</font></span></td>
			</tr><tr id="PC635_trOther" style="display:;">
 
				<td id="PC635_tdOther" class="BBFieldControlCell DonationFieldControlCell"><span itemIndex="-1"><input id="PC635_rdoOther" type="radio" name="amt" value="0.00" onclick="rdo_OnClick(this);" /><label for="PC635_rdoOther"><font face="Arial" size="2">Other</font></label></span></td><td class="wsNowrap BBFieldControlCell DonationFieldControlCell">
                                <table style="margin-left: -3px" cellspacing="1">
                                    <tr>
                                        <td>
                                            <span id="PC635_lblSymbol"><font face="Arial" size="2">$</font></span>
 
                                        </td>
                                        <td>
 
                                            <input name="amt" type="text" maxlength="10" id="PC635_txtAmount" disabled="disabled" class="BBFormTextbox DonationTextboxNarrow" size="20" />&nbsp;</td>
				
                                        <td>
                                            &nbsp;
                                        </td>
                                        <td>
                                            <span id="PC635_lblAmtRequiredMarker" class="BBFormRequiredFieldMarker DonationRequiredFieldMarker" style="visibility:hidden;"><b><font face="Arial" color="#FF0000" size="3">*</font></b></span>
 
                                        </td>
                                    </tr>
 
                </table>
        </table>
  </tr>
  <tr>
    <td width="100%" align="right" height="21" colspan="2">
      <hr size="0" color="#C0C0C0">
    </td>
 
  </tr>
 
  <tr>
    <td width="30%" align="left" height="21"><font face="Arial" size="2" color="#003366">Personal
      Details</font></td>
    <td width="70%" height="21"></td>
  </tr>
  <tr>
    <td width="30%" align="right" height="21"><font face="Arial" size="2">First
      Name:&nbsp;<font color="#FF0000">*&nbsp;&nbsp;</font></font></td>
 
    <td width="70%" height="21"><font face="Times New Roman" size="3"><span style="FONT-SIZE: 12pt"><input maxLength="25" size="30" name="pmt_contact_firstname"></span></font></td>
 
         
  </tr>
  <tr>
    <td width="30%" align="right" height="21"><font face="Arial" size="2">Surname:&nbsp;<font color="#FF0000">*&nbsp;&nbsp;</font></font></td>
    <td width="70%" height="21"><font face="Times New Roman" size="3"><span style="FONT-SIZE: 12pt"><input maxLength="25" size="30" name="pmt_contact_surname"></span></font></td>
  </tr>
  <tr>
    <td width="30%" align="right" height="25"><font face="Arial" size="2">Address
      1:&nbsp;<font color="#FF0000">*&nbsp;&nbsp;</font></font></td>
 
    <td width="70%" height="25"><font face="Times New Roman" size="3"><span style="FONT-SIZE: 12pt"><input maxLength="40" size="30" name="regindi_address1"></span></font></td>
  </tr>
  <tr>
    <td width="30%" align="right" height="21"><font face="Arial" size="2">Address
      2:&nbsp;<font color="#FF0000">*&nbsp;&nbsp;</font></font></td>
    <td width="70%" height="21"><font face="Times New Roman" size="3"><span style="FONT-SIZE: 12pt"><input maxLength="40" size="30" name="regindi_address2"></span></font></td>
  </tr>
  <tr>
 
    <td width="30%" align="right" height="21"><font face="Arial" size="2">Suburb:&nbsp;<font color="#FF0000">*&nbsp;&nbsp;</font></font></td>
 
    <td width="70%" height="21"><font face="Times New Roman" size="3"><span style="FONT-SIZE: 12pt"><input maxLength="50" size="30" name="regindi_sub"></span></font></td>
  </tr>
  <tr>
    <td width="30%" align="right" height="21"><font size="2" face="Arial">City:&nbsp;&nbsp;&nbsp;</font></td>
    <td width="70%" height="21"><font face="Times New Roman" size="3"><span style="FONT-SIZE: 12pt"><input maxLength="50" size="30" name="account_ccard_city"></span></font></td>
  </tr>
 
  <tr>
    <td width="30%" align="right" height="21"><font face="Arial" size="2">Postal
      Code / Zip:&nbsp;<font color="#FF0000">*&nbsp;&nbsp;</font></font></td>
 
    <td width="70%" height="21"><font face="Times New Roman" size="3"><span style="FONT-SIZE: 12pt"><input maxLength="10" size="10" name="regindi_pcode"></span></font></td>
  </tr>
  <tr>
    <td width="30%" align="right" height="21"><font face="Arial" size="2">Country:&nbsp;<font color="#FF0000">*&nbsp;&nbsp;</font></font></td>
 
    <td width="70%" height="21"><font face="Times New Roman" size="3"><span style="FONT-SIZE: 12pt"><select name="pmt_country" size="1">
        <option value="AF">Afghanistan
        <option value="AL">Albania
        <option value="DZ">Algeria
        <option value="AS">American Samoa
        <option value="AD">Andorra
        <option value="AO">Angola
        <option value="AI">Anguilla
        <option value="AQ">Antarctica
        <option value="AG">Antigua/Barbuda
        <option value="AR">Argentina
        <option value="AM">Armenia
        <option value="AW">Aruba
        <option value="AU" selected>Australia
        <option value="AT">Austria
        <option value="AZ">Azerbaijan
        <option value="BS">Bahamas
        <option value="BH">Bahrain
        <option value="BD">Bangladesh
        <option value="BB">Barbados
        <option value="BY">Belarus
        <option value="BE">Belgium
        <option value="BZ">Belize
        <option value="BJ">Benin
        <option value="BM">Bermuda
        <option value="BT">Bhutan
        <option value="BO">Bolivia
        <option value="BA">Bosnia/Herz
        <option value="BW">Botswana
        <option value="BV">Bouvet Is
        <option value="BR">Brazil
        <option value="IO">Brit Indian Ter
        <option value="BN">Brunei
        <option value="BG">Bulgaria
        <option value="BF">Burkina Faso
        <option value="BI">Burundi
        <option value="KH">Cambodia
        <option value="CM">Cameroon
        <option value="CA">Canada
        <option value="CV">Cape Verde
        <option value="KY">Cayman Islands
        <option value="CF">Central Afr Rep
        <option value="TD">Chad
        <option value="CL">Chile
        <option value="CN">China
        <option value="CX">Christmas Is
        <option value="CC">Cocos/Keeling Is
        <option value="CO">Colombia
        <option value="KM">Comoros
        <option value="CG">Congo
        <option value="CD">Zaire
        <option value="CK">Cook Islands
        <option value="CI">Cote D'Ivoire
        <option value="CR">Costa Rica
        <option value="HR">Croatia
        <option value="CU">Cuba
        <option value="CY">Cyprus
        <option value="CZ">Czech Republic
        <option value="DK">Denmark
        <option value="DJ">Djibouti
        <option value="DM">Dominica
        <option value="DO">Dominican Rep
        <option value="EC">Ecuador
        <option value="EG">Egypt
        <option value="SV">El Salvador
        <option value="GQ">Equatorl Guinea
        <option value="ER">Eritrea
        <option value="EE">Estonia
        <option value="ET">Ethiopia
        <option value="FK">Falkland Is
        <option value="FO">Faroe Is
        <option value="FJ">Fiji
        <option value="FI">Finland
        <option value="FR">France
        <option value="GF">French Guiana
        <option value="PF">French Polynesia
        <option value="TF">French So Ter
        <option value="GA">Gabon
        <option value="GM">Gambia
        <option value="GE">Georgia
        <option value="DE">Germany
        <option value="GH">Ghana
        <option value="GI">Gibraltar
        <option value="GR">Greece
        <option value="GL">Greenland
        <option value="GD">Grenada
        <option value="GP">Guadeloupe
        <option value="GU">Guam
        <option value="GT">Guatemala
        <option value="GN">Guinea
        <option value="GW">Guinea-Bissau
        <option value="GY">Guyana
        <option value="HT">Haiti
        <option value="HM">Heard/Mcdonald
        <option value="HN">Honduras
        <option value="HK">Hong Kong
        <option value="HU">Hungary
        <option value="IS">Iceland
        <option value="IN">India
        <option value="ID">Indonesia
        <option value="IR">Iran
        <option value="IQ">Iraq
        <option value="IE">Ireland
        <option value="IL">Israel
        <option value="IT">Italy
        <option value="JM">Jamaica
        <option value="JP">Japan
        <option value="JO">Jordan
        <option value="KZ">Kazakhstan
        <option value="KE">Kenya
        <option value="KI">Kiribati
        <option value="KP">Korea, DPRK
        <option value="KR">Korea, Rep Of
        <option value="KW">Kuwait
        <option value="KG">Kyrgyzstan
        <option value="LA">Laos
        <option value="LV">Latvia
        <option value="LB">Lebanon
        <option value="LS">Lesotho
        <option value="LR">Liberia
        <option value="LY">Libya
        <option value="LI">Liechtenstein
        <option value="LT">Lithuania
        <option value="LU">Luxembourg
        <option value="MO">Macao
        <option value="MK">Macedonia
        <option value="MG">Madagascar
        <option value="MW">Malawi
        <option value="MY">Malaysia
        <option value="MV">Maldives
        <option value="ML">Mali
        <option value="MT">Malta
        <option value="MH">Marshall Is
        <option value="MQ">Martinique
        <option value="MR">Mauritania
        <option value="MU">Mauritius
        <option value="YT">Mayotte
        <option value="MX">Mexico
        <option value="FM">Micronesia
        <option value="MD">Moldova
        <option value="MC">Monaco
        <option value="MN">Mongolia
        <option value="MS">Montserrat
        <option value="MA">Morocco
        <option value="MZ">Mozambique
        <option value="MM">Myanmar
        <option value="NA">Namibia
        <option value="NR">Nauru
        <option value="NP">Nepal
        <option value="NL">Netherlands
        <option value="AN">Neth Antilles
        <option value="NC">New Caledonia
        <option value="NZ">New Zealand
        <option value="NI">Nicaragua
        <option value="NE">Niger
        <option value="NG">Nigeria
        <option value="NU">Niue
        <option value="NF">Norfolk Island
        <option value="MP">North Mariana Is
        <option value="NO">Norway
        <option value="OM">Oman
        <option value="PK">Pakistan
        <option value="PW">Palau
        <option value="PS">Palestinian Ter
        <option value="PA">Panama
        <option value="PG">Papua New Guinea
        <option value="PY">Paraguay
        <option value="PE">Peru
        <option value="PH">Philippines
        <option value="PN">Pitcairn
        <option value="PL">Poland
        <option value="PT">Portugal
        <option value="PR">Puerto Rico
        <option value="QA">Qatar
        <option value="RE">R Union
        <option value="RO">Romania
        <option value="RU">Russia
        <option value="RW">Rwanda
        <option value="SH">St Helena
        <option value="KN">St Kitts/Nevis
        <option value="LC">St Lucia
        <option value="PM">St Pierre/Miq
        <option value="VC">St Vincent
        <option value="WS">Samoa
        <option value="SM">San Marino
        <option value="ST">SaoTome/Principe
        <option value="SA">Saudi Arabia
        <option value="SN">Senegal
        <option value="SC">Seychelles
        <option value="SL">Sierra Leone
        <option value="SG">Singapore
        <option value="SK">Slovakia
        <option value="SI">Slovenia
        <option value="SB">Solomon Is
        <option value="SO">Somalia
        <option value="ZA">South Africa
        <option value="GS">S.Georgia/Sndwch
        <option value="ES">Spain
        <option value="LK">Sri Lanka
        <option value="SD">Sudan
        <option value="SR">Suriname
        <option value="SJ">Svalbard-JanMay
        <option value="SZ">Swaziland
        <option value="SE">Sweden
        <option value="CH">Switzerland
        <option value="SY">Syrian Arab Rep
        <option value="TW">Taiwan
        <option value="TJ">Tajikistan
        <option value="TZ">Tanzania
        <option value="TH">Thailand
        <option value="TL">Timor-Leste
        <option value="TG">Togo
        <option value="TK">Tokelau
        <option value="TO">Tonga
        <option value="TT">Trinidad/Tobago
        <option value="TN">Tunisia
        <option value="TR">Turkey
        <option value="TM">Turkmenistan
        <option value="TC">Turks/Caicos
        <option value="TV">Tuvalu
        <option value="UG">Uganda
        <option value="UA">Ukraine
        <option value="AE">United Arab Emir
        <option value="GB">United Kingdom
        <option value="US">United States
        <option value="UM">US Minor Out Is
        <option value="UY">Uruguay
        <option value="UZ">Uzbekistan
        <option value="VU">Vanuatu
        <option value="VA">Vatican City
        <option value="VE">Venezuela
        <option value="VN">Viet Nam
        <option value="VG">Virgin Is, Brit
        <option value="VI">Virgin Is, US
        <option value="WF">Wallis/Futuna
        <option value="EH">Western Sahara
        <option value="YE">Yemen
        <option value="YU">Yugoslavia
        <option value="ZM">Zambia
        <option value="ZW">Zimbabwe</option>
 
      </select></span></font></td>
  </tr>
  <tr>
    <td width="30%" align="right" height="21">
      <p class="MsoNormal" style="TEXT-ALIGN: right" align="right"><font face="Arial" size="2">Phone:&nbsp;
      </font></p>
    </td>
    <td width="70%" height="21"><font face="Times New Roman" size="3"><span style="FONT-SIZE: 12pt"><input maxLength="15" size="12" name="pmt_contact_phone"></span></font></td>
 
  </tr>
  <tr>
    <td width="30%" align="right" height="21"><font face="Arial" size="2">Email:&nbsp;<font color="#FF0000">*&nbsp;&nbsp;</font></font></td>
    <td width="70%" height="21"><font face="Times New Roman" size="3"><span style="FONT-SIZE: 12pt"><input maxLength="50" size="30" name="pmt_sender_email"></span></font></td>
  </tr>
  <tr>
    <td width="100%" align="right" height="21" colspan="2">
 
      <hr size="0" color="#C0C0C0">
 
    </td>
  </tr>
  <tr>
    <td width="30%" align="left" height="21"><font face="Arial" size="2" color="#003366">Credit
      Card Details</font></td>
    <td width="70%" height="21"></td>
  </tr>
  <tr>
 
    <td width="30%" align="right" height="21"><font face="Arial" size="2">Name
      on Card:&nbsp;<font color="#FF0000">*&nbsp;&nbsp;</font> </font></td>
 
    <td width="70%" height="21"><font face="Times New Roman" size="3"><span style="FONT-SIZE: 12pt"><input maxLength="50" size="30" name="account_ccard_name"></span></font></td>
  </tr>
  <tr>
    <td width="30%" align="right" height="21"><font face="Arial" size="2">Credit
      Card Type:&nbsp;<font color="#FF0000">*&nbsp;&nbsp;</font> </font></td>
 
    <td width="70%" height="21"><font face="Times New Roman" size="3"><span style="FONT-SIZE: 12pt"><select name="account_ccard_type">
        <option value="VISA" selected>Visa
        <option value="MC">MasterCard
        <option value="AMEX">American Express</option>
 
      </select></span></font></td>
  </tr>
  <tr>
    <td width="30%" align="right" height="21"><font face="Arial" size="2">Credit
      Card Number:&nbsp;<font color="#FF0000">*&nbsp;&nbsp;</font> </font></td>
 
    <td width="70%" height="21"><font face="Times New Roman" size="3"><span style="FONT-SIZE: 12pt"><input maxLength="22" size="18" name="account_ccard_number"></span></font></td>
  </tr>
  <tr>
 
    <td width="30%" align="right" height="21"><font face="Arial" size="2">Card
      Security Code:&nbsp;<font color="#FF0000">*&nbsp;&nbsp;</font> </font></td>
    <td width="70%" height="21"><span style="FONT-SIZE: 12pt"><font face="Times New Roman" size="3"><input maxLength="6" size="4" name="account_ccard_csc"></font></span><font face="Arial" size="1">&nbsp;<u><font color="#003366"><a href="javascript:gsPopUp('creditcard.html', 600, 325)"><span class="gsSML2">What's this?</span></a></u></font></font></td>
  </tr>
 
  <tr>
    <td width="30%" align="right" height="21"><font face="Arial" size="2">Expiration:&nbsp;<font color="#FF0000">*&nbsp;&nbsp;</font>
      </font></td>
 
    <td width="70%" height="21"><font face="Times New Roman" size="3"><span style="FONT-SIZE: 12pt"><select name="account_ccard_exp_date[M]">
        <option value="1">Jan
        <option value="2">Feb
        <option value="3">Mar
        <option value="4">Apr
        <option value="5" selected>May
        <option value="6">Jun
        <option value="7">Jul
        <option value="8">Aug
        <option value="9">Sep
        <option value="10">Oct
        <option value="11">Nov
        <option value="12">Dec</option>
 
      </select><select name="account_ccard_exp_date[Y]">
 
        <option value="2006">2006
        <option value="2007">2007
        <option value="2008" selected>2008
        <option value="2009">2009
        <option value="2010">2010
        <option value="2011">2011
        <option value="2012">2012
        <option value="2013">2013
        <option value="2014">2014</option>
      </select></span></font></td>
  </tr>
 
  <tr>
 
    <td width="30%" align="right" height="21"></td>
    <td width="70%" height="21"></td>
  </tr>
   <tr>
    <td width="30%" align="left" height="21"><div align="center">
    
</div></td>
    <td width="70%" height="21" align="right">
 
<p>
         <input type="button" id="express" value="Pay Now" onclick="javascript:return getURL();">
    </p>
 
    </td>
 
  </tr>
  <tr>
    <td width="100%" align="right" height="21" bgcolor="#8CB8E3" colspan="2">&nbsp;</td>
  </tr>
 
</table>
</form>
                          
                      </td>
                      <td width="136" valign="top">
                        <table border="0" cellpadding="0" cellspacing="0" width="138">
                          <tr>
 
                            <td width="9"><img border="0" src="images/10x10.gif" width="10" height="10"></td>
                            <td width="125"></td>
                          </tr>
 
                          <tr>
                            <td width="9"></td>
                            <td width="125" height="15"></td>
                          </tr>
                          <tr>
                            <td width="9"></td>
 
                           
                  </table>
                <!-- InstanceEndEditable --></td>
 
              </tr>
          </table></td>
 
        </tr>
        <tr>
          <td height="29" background="images/footer_background.gif" bgcolor="#163A94"><table width="900" border="0" cellpadding="0" cellspacing="0">
            <tr>
              <td width="18" height="25">&nbsp;</td>
              
 
              <td width="77" class="navtext"><a href="links.htm" class="navtext"></a></td>
 
        
</body>
<!-- InstanceEnd -->
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