{assign var="title" value="Credit Card Info"} {include file="header.html"}

{$title}

{if $error}
{foreach from=$error item=e}
  • {$e} {/foreach}
  • {/if}
    {if $config.cc_type_options} {/if} {if $config.cc_name} {/if} {if $config.cc_name_f} {/if} {if $config.cc_company} {/if} {if $config.cc_code} {/if} {if $config.cc_phone} {/if}
    Credit Card Type
    please select one
    Cardholder Name
    cardholder name, exactly as on the card
    Cardholder Name
    cardholder first and last name, exactly as
    on the card
    Company Name
    the company name associated with the
    billing address for the transaction
    Credit Card Number
    for example: 1111-2222-3333-4444
    Card Expire
    Select card expiration date - month and year
    {html_select_date prefix="cc_expire_" end_year="+10" display_days=0}
    Credit Card Code
    The "Card Code" is a three- or four-digit security code
    that is printed on the back of credit cards in the card's
    signature panel (or on the front for American Express cards).
    Address Info
    (must match your credit card statement delivery address exactly)
    Street Address
    City
    State
    ZIP
    Country
    Phone
    enter phone number in the following
    format: 999-999-9999

    {foreach from=$add_fields item=v key=k} {/foreach} {if $renew_cc}                   {elseif $payment.amount <= 0} {* looks like start of free trial *} {else} {/if}
    {include file="footer.html"}