mirror of
https://github.com/invoiceninja/invoiceninja.git
synced 2024-11-18 09:04:35 +01:00
77 lines
2.4 KiB
PHP
77 lines
2.4 KiB
PHP
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@extends('header')
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@section('content')
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<style type="text/css">
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div > label.control-label
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{
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font-weight: normal !important;
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}d
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</style>
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{{ Former::open('payment/' . $invitationKey)->rules(array(
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'first_name' => 'required',
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'last_name' => 'required',
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'card_number' => 'required',
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'expiration_month' => 'required',
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'expiration_year' => 'required',
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'cvv' => 'required',
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'address1' => 'required',
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'city' => 'required',
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'state' => 'required',
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'postal_code' => 'required'
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)) }}
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{{ Former::populate($client) }}
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{{ Former::populateField('first_name', $contact->first_name) }}
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{{ Former::populateField('last_name', $contact->last_name) }}
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<div class="row">
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<div class="col-md-6 col-md-offset-2">
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{{ Former::legend('Secure Payment') }}
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{{ Former::text('first_name') }}
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{{ Former::text('last_name') }}
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<p> <p/>
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{{ Former::text('card_number') }}
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{{ Former::select('expiration_month')->addOption('','')
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->addOption('01 - January', '1')
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->addOption('02 - February', '2')
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->addOption('03 - March', '3')
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->addOption('04 - April', '4')
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->addOption('05 - May', '5')
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->addOption('06 - June', '6')
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->addOption('07 - July', '7')
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->addOption('08 - August', '8')
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->addOption('09 - September', '9')
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->addOption('10 - October', '10')
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->addOption('11 - November', '11')
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->addOption('12 - December', '12')
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}}
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{{ Former::select('expiration_year')->addOption('','')
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->addOption('2014', '2014')
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->addOption('2015', '2015')
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->addOption('2016', '2016')
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->addOption('2017', '2017')
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->addOption('2018', '2018')
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->addOption('2019', '2019')
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->addOption('2020', '2020')
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}}
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{{ Former::text('cvv')->label('CVV') }}
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<p> <p/>
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{{ Former::text('address1')->label('Street') }}
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{{ Former::text('address2')->label('Apt/Suite') }}
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{{ Former::text('city') }}
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{{ Former::text('state')->label('State/Province') }}
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{{ Former::text('postal_code') }}
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{{ Former::actions( Button::primary_submit_lg('Pay Now - ' . Utils::formatMoney($invoice->amount, $client->currency_id) )) }}
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</div>
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</div>
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{{ Former::close() }}
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@stop
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