');
document.write('
<?php ');
document.write('
');
document.write('
require_once "class.error.php";
');
document.write('
$e =
new error;
');
document.write('
require_once "class.credit.php";
');
document.write('
$cc =
new credit;
');
document.write('
');
document.write('
if($_POST){');
document.write('
$cc_number =
$_POST[\'cc_number\'];
');
document.write('
$expire_month =
$_POST[\'expire_month\'];
');
document.write('
$expire_year =
$_POST[\'expire_year\'];
');
document.write('
$cc_cvv =
$_POST[\'cc_cvv\'];
');
document.write('
');
document.write('
$date =
$expire_month .
$expire_year;
');
document.write('
$cc->
validate($cc_number,
$cc_cvv,
$date);
');
document.write('
');
document.write('
if($e->
countErrors() ==
0){');
document.write('
//process form');
document.write('
header("location: somewhere.php");
');
document.write('
die();
');
document.write('
}');
document.write('
}');
document.write('
');
document.write('
?>');
document.write('
');
document.write('
<?php $e->
showErrors();
?>');
document.write(' <form method=
"post" action=
"<?php echo $_SERVER[\'PHP_SELF\'] ?>">
');
document.write(' <table border=
"0" cellpadding=
"4" width=
"450">
');
document.write(' <tr>
');
document.write(' <td width=
"200" class=
"tbl_left">Payment Type: </td>
');
document.write(' <td width=
"250" class=
"tbl_right">Credit Card</td>
');
document.write(' </tr>
');
document.write(' <tr>
');
document.write(' <td
class=
"tbl_left">Card Holder Name: </td>
');
document.write(' <td
class=
"tbl_right"><input type=
"text" name=
"cc_name" /></td>
');
document.write(' </tr>
');
document.write(' <tr>
');
document.write(' <td
class=
"tbl_left">Card Type: </td>
');
document.write(' <td
class=
"tbl_right"><select name=
"cc_type">
');
document.write(' <option value=
"American Express">American Express</option>
');
document.write(' <option value=
"Discover">Discover</option>
');
document.write(' <option value=
"Master Card">Master Card</option>
');
document.write(' <option value=
"Visa">Visa</option>
');
document.write(' </select>
');
document.write(' </td>
');
document.write(' </tr>
');
document.write(' <tr>
');
document.write(' <td
class=
"tbl_left">Credit Card Number: </td>
');
document.write(' <td
class=
"tbl_right"><input type=
"text" name=
"cc_number" /></td>
');
document.write(' </tr>
');
document.write(' <tr>
');
document.write(' <td
class=
"tbl_left">Expiration
Date: </td>
');
document.write(' <td
class=
"tbl_right"><select name=
"expire_month">
');
document.write(' <option value=
"01">January</option>
');
document.write(' <option value=
"02">February</option>
');
document.write(' <option value=
"03">March</option>
');
document.write(' <option value=
"04">April</option>
');
document.write(' <option value=
"05">May</option>
');
document.write(' <option value=
"06">June</option>
');
document.write(' <option value=
"07">July</option>
');
document.write(' <option value=
"08">August</option>
');
document.write(' <option value=
"09">September</option>
');
document.write(' <option value=
"10">October</option>
');
document.write(' <option value=
"11">November</option>
');
document.write(' <option value=
"12">December</option>
');
document.write(' </select>
');
document.write(' <select name=
"expire_year">
');
document.write('
<?php ');
document.write('
for($x=
date(Y
);
$x<=
2050;
$x++
){');
document.write('
echo \'<option value="\'.
substr($x,
-2).
\'">\'.
$x.
\'</option>\'.
"\n";
');
document.write('
}');
document.write('
?>');
document.write(' </select>
');
document.write(' </td>
');
document.write(' </tr>
');
document.write(' <tr>
');
document.write(' <td
class=
"tbl_left">CVV Number:</td>
');
document.write(' <td
class=
"tbl_right"><input type=
"text" name=
"cc_cvv" size=
"5" maxlength=
"4" /></td>
');
document.write(' </tr>
');
document.write(' <tr>
');
document.write(' <td
class=
"tbl_left">Enter a Promo Code: </td>
');
document.write(' <td
class=
"tbl_right"><input type=
"text" name=
"promo_code" /></td>
');
document.write(' </tr>
');
document.write(' </table>
');
document.write('</form>
');
document.write('