mirror of
https://github.com/invoiceninja/invoiceninja.git
synced 2024-11-14 07:02:34 +01:00
77 lines
2.4 KiB
PHP
77 lines
2.4 KiB
PHP
|
@extends('header')
|
||
|
|
|
||
|
|
@section('content')
|
||
|
|
|
||
|
|
<style type="text/css">
|
||
|
|
div > label.control-label
|
||
|
|
{
|
||
|
|
font-weight: normal !important;
|
||
|
|
}d
|
||
|
|
</style>
|
||
|
|
|
||
|
|
{{ Former::open('payment/' . $invitationKey)->rules(array(
|
||
|
|
'first_name' => 'required',
|
||
|
|
'last_name' => 'required',
|
||
|
|
'card_number' => 'required',
|
||
|
|
'expiration_month' => 'required',
|
||
|
|
'expiration_year' => 'required',
|
||
|
|
'cvv' => 'required',
|
||
|
|
'address1' => 'required',
|
||
|
|
'city' => 'required',
|
||
|
|
'state' => 'required',
|
||
|
|
'postal_code' => 'required'
|
||
|
|
)) }}
|
||
|
|
{{ Former::populate($client) }}
|
||
|
|
{{ Former::populateField('first_name', $contact->first_name) }}
|
||
|
|
{{ Former::populateField('last_name', $contact->last_name) }}
|
||
|
|
|
||
|
|
|
||
|
|
<div class="row">
|
||
|
|
<div class="col-md-6 col-md-offset-2">
|
||
|
|
|
||
|
|
{{ Former::legend('Secure Payment') }}
|
||
|
|
{{ Former::text('first_name') }}
|
||
|
|
{{ Former::text('last_name') }}
|
||
|
|
<p> <p/>
|
||
|
|
{{ Former::text('card_number') }}
|
||
|
|
{{ Former::select('expiration_month')->addOption('','')
|
||
|
|
->addOption('01 - January', '1')
|
||
|
|
->addOption('02 - February', '2')
|
||
|
|
->addOption('03 - March', '3')
|
||
|
|
->addOption('04 - April', '4')
|
||
|
|
->addOption('05 - May', '5')
|
||
|
|
->addOption('06 - June', '6')
|
||
|
|
->addOption('07 - July', '7')
|
||
|
|
->addOption('08 - August', '8')
|
||
|
|
->addOption('09 - September', '9')
|
||
|
|
->addOption('10 - October', '10')
|
||
|
|
->addOption('11 - November', '11')
|
||
|
|
->addOption('12 - December', '12')
|
||
|
|
}}
|
||
|
|
{{ Former::select('expiration_year')->addOption('','')
|
||
|
|
->addOption('2014', '2014')
|
||
|
|
->addOption('2015', '2015')
|
||
|
|
->addOption('2016', '2016')
|
||
|
|
->addOption('2017', '2017')
|
||
|
|
->addOption('2018', '2018')
|
||
|
|
->addOption('2019', '2019')
|
||
|
|
->addOption('2020', '2020')
|
||
|
|
}}
|
||
|
|
|
||
|
|
{{ Former::text('cvv')->label('CVV') }}
|
||
|
|
<p> <p/>
|
||
|
|
{{ Former::text('address1')->label('Street') }}
|
||
|
|
{{ Former::text('address2')->label('Apt/Suite') }}
|
||
|
|
{{ Former::text('city') }}
|
||
|
|
{{ Former::text('state')->label('State/Province') }}
|
||
|
|
{{ Former::text('postal_code') }}
|
||
|
|
|
||
|
|
{{ Former::actions( Button::primary_submit_lg('Pay Now - ' . Utils::formatMoney($invoice->amount, $client->currency_id) )) }}
|
||
|
|
|
||
|
|
</div>
|
||
|
|
</div>
|
||
|
|
|
||
|
|
|
||
|
|
{{ Former::close() }}
|
||
|
|
|
||
|
|
@stop
|