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Rev Author Line No. Line
6050 anupam.sin 1
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
2
<html xmlns="http://www.w3.org/1999/xhtml">
3
<head>
4
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
5
 
6
<!-- Prevent MS Office toolbar from changing layout -->
7
<meta http-equiv="imagetoolbar" content="false">
8
<meta name="MSSmartTagsPreventParsing" content="true">
9
 
6177 anupam.sin 10
<title>Recharge Pay Options</title>
6050 anupam.sin 11
 
12
<!-- start of new code -->
13
#include ( "templates/commoncssfiles.vm" )
14
<style type="text/css">
15
	#registration {
16
    margin: 10px 0px 4px;
17
}
18
.main-left-banner img {
19
    width: 980px;
20
}
6135 anupam.sin 21
label.error{
22
	color:red;
23
	font-size:13px;
24
	padding: 2px 10px;
6050 anupam.sin 25
</style>
26
 
27
<script language="javascript" type="text/javascript" src="/js/ga-invoker.js"></script>
28
</head>
29
 
30
<body>
31
	<noscript>
32
		<p id="noScript">Please enable <em>Javascript</em> for this Website to function correctly!</p>
33
	</noscript>
34
 
35
	$action.getHeaderSnippet()
36
<div id="main">
37
	<div class="main-content">
38
		<div class="main-top"></div>
39
		<div class="main-left-banner">
40
					<script type='text/javascript'><!--//<![CDATA[
41
               var m3_u = (location.protocol=='https:'?'https://open.saholic.com/openx/www/delivery/ajs.php':'http://open.saholic.com/openx/www/delivery/ajs.php');
42
               var m3_r = Math.floor(Math.random()*99999999999);
43
               if (!document.MAX_used) document.MAX_used = ',';
44
               document.write ("<scr"+"ipt type='text/javascript' src='"+m3_u);
45
               document.write ("?zoneid=1");
46
               document.write ('&amp;cb=' + m3_r);
47
               if (document.MAX_used != ',') document.write ("&amp;exclude=" + document.MAX_used);
48
               document.write (document.charset ? '&amp;charset='+document.charset : (document.characterSet ? '&amp;charset='+document.characterSet : ''));
49
               document.write ("&amp;loc=" + escape(window.location));
50
               if (document.referrer) document.write ("&amp;referer=" + escape(document.referrer));
51
               if (document.context) document.write ("&context=" + escape(document.context));
52
               if (document.mmm_fo) document.write ("&amp;mmm_fo=1");
53
               document.write ("'><\/script>");
54
            //]]>--></script><noscript><a href='http://open.saholic.com/openx/www/delivery/ck.php?n=a592d2cd&amp;cb=INSERT_RANDOM_NUMBER_HERE' target='_blank'><img src='http://open.saholic.com/openx/www/delivery/avw.php?zoneid=1&amp;cb=INSERT_RANDOM_NUMBER_HERE&amp;n=a592d2cd' border='0' alt='' /></a></noscript>
55
				</div>
56
 
57
 
58
		<div id="registration" class="blue-border">
59
 
60
          <div class="middle">
61
            <div class="mid-inner">
62
 
63
              <!-- Block 1 -->
64
              <div class="padding-top17">
65
				#set($errorMsg=$action.getErrorMsg())
66
				#if(!$errorMsg.isEmpty())
67
                <div id="messageError">
68
                    <span></span>
69
                    <p>
70
                        $errorMsg <br/>
71
                    </p>
72
                </div>
73
				#end
6057 anupam.sin 74
				#set($rechargeAmount=$action.getAmount())
6050 anupam.sin 75
 
76
				<h4 style="font-size:16px; font-weight:bold"><span style="color:#999999">Amount to be Paid:</span> Rs <span style="color:#333333">$rechargeAmount</span></h4>
77
				<br/>
78
				<div id="vtab">
79
                    <ul>
80
                        <li>CREDIT CARDS</li>
81
                        <li>DEBIT/ATM CARDS</li>
82
                        <li>NET BANKING</li>
83
                    </ul>
84
                    <div>
85
						<div class="center-text-bold12">Select Your Credit Card:</div><br/>
6086 anupam.sin 86
						<form id="ccSelection" name="ccSelection" action="/recharge-payment" method="post" onsubmit="return verifyPaymentModeSelectionForm('ccSelection')">
6050 anupam.sin 87
							<input type="hidden" name="rechargeOrderId" value="$action.getRechargeOrderId()"/>
6215 anupam.sin 88
							<div class="ccdiv" style="float:left; margin-left:48px;width:552px">
89
    							<div class="ccheader-div" style="width:542px"><b>Please choose the payment system.</b></div>
6050 anupam.sin 90
    							<div style="padding: 20px">
91
    								<div class="options">
92
    									<input type="radio" name="payment_option" value="2008" class="marginRight5px"/>
93
    									<div class="newcclogo visa">
94
        									<h3>
95
        										<img src="/images/Icons_CreditCardsPayment.png" valign="middle"/>
96
        									</h3>
97
        								</div>
98
        								<span class="cctext">Visa</span>
99
        								<br/>
100
    								</div>
101
    								<div class="options">
102
    									<input type="radio" name="payment_option" value="2017" class="marginRight5px"/>
103
    									<div class="newcclogo">
104
        									<h3>
105
        										<img src="/images/Icons_CreditCardsPayment.png" valign="middle"/>
106
        									</h3>
107
        								</div>
108
    									<span class="cctext">MasterCard</span>
109
    									<br/>
110
    								</div>
111
    								<div class="options">
112
    									<input type="radio" name="payment_option" value="1010" class="marginRight5px"/>
113
    									<div class="newcclogo diners">
114
        									<h3>
115
        										<img src="/images/Icons_CreditCardsPayment.png" valign="middle"/>
116
        									</h3>
117
        								</div>
118
    									<span class="cctext">Diners Club</span>
119
    									<br/>
120
    								</div>
121
    							</div>
122
							</div>
123
                            <div style="clear:both"></div>
124
							<!--<form name="frmShippingAddress" id="frmShippingAddress" method="post" action="/shipping" class="right">-->
6228 anupam.sin 125
							#if($action.fieldsToShow().equals($action.PHONE))
6050 anupam.sin 126
                			<table id='billig-address-for-recharge' cellpadding="0" cellspacing="0">
127
                				<thead>
128
                					<tr class="header">
6228 anupam.sin 129
                							<td id="newAddressFormHeading" class="instruction" colspan="2"></td>
6050 anupam.sin 130
                					</tr>
131
                                </thead>
132
                				<tbody>
133
                                <tr>
6228 anupam.sin 134
                					<td class="label" align="right"><sup>*</sup>Please enter your mobile number : </td>
135
                					<td class="input">
136
                						<input type="text" id="shipPhone" name="phone" value="" class="searchbox right" />
137
                					</td>
138
                				</tr>
139
                                </tbody>
140
                			</table>
141
							<br>
142
							#elseif($action.fieldsToShow().equals($action.ADDRESS))
143
								<table id='billig-address-for-recharge' cellpadding="0" cellspacing="0">
144
                				<thead>
145
                					<tr class="header">
146
                							<td id="newAddressFormHeading" class="instruction" colspan="2">We need a billing address to send to Payment Gateway.</td>
147
                					</tr>
148
                                </thead>
149
                				<tbody>
150
                                <tr>
151
                					<td class="label" align="right"><sup>*</sup>Name:</td>
152
                					<td class="input">
153
                						<input type="text" id="shipName" name="name" class="searchbox right" />
154
                					</td>
155
                				</tr>
156
                                <tr>
157
                					<td class="label" align="right"><sup>*</sup>Address Line 1:</td>
158
                					<td class="input">
159
                						<input type="text" id="shipAddress1" name="line1" class="searchbox right" />
160
                					</td>
161
                				</tr>
162
                                <tr>
163
                					<td class="label" align="right">Address Line 2:</td>
164
                					<td class="input">
165
                						<input type="text" id="shipAddress2" name="line2" class="searchbox right" />
166
                					</td>
167
                				</tr>
168
                                <tr>
169
                					<td class="label" align="right"><sup>*</sup>State</td>
170
                					<td class="input">
171
                						<select class="select_state" name="state" id="shipState">
172
                						#include("templates/stateslist.vm")
173
                						</select>
174
                					</td>
175
                				</tr>
176
                                <tr>
177
                					<td class="label" align="right"><sup>*</sup>City:</td>
178
                					<td class="input">
179
                						<input type="text" id="shipCity" name="city" class="searchbox"/>
180
                					</td>
181
                				</tr>
182
                                <tr>
183
                					<td class="label" align="right"><sup>*</sup>Pin Code:</td>
184
                					<td class="input">
185
                						<input type="text" id="shipPin" name="pincode" value="" class="searchbox textbox-pincode" />
186
                					</td>
187
                				</tr>
188
                                <tr>
6050 anupam.sin 189
                					<td class="label" align="right"><sup>*</sup>Phone:</td>
190
                					<td class="input">
191
                						<input type="text" id="shipPhone" name="phone" value="" class="searchbox right" />
192
                					</td>
193
                				</tr>
6228 anupam.sin 194
                				<tr>
195
                					<td>&nbsp;</td>
196
                					<td class="instruction">This address will be saved for next time.</td>
197
                				</tr>
6050 anupam.sin 198
                                </tbody>
199
                			</table>
6091 anupam.sin 200
							#end
6050 anupam.sin 201
							<div style="text-align:center;">
202
    							<input type="submit" value="MAKE PAYMENT" class="make-payment-button" id="make-payment-recharge-button"/>
203
								<br/><br/>
204
								<span class="center-text-bold13">You will be taken to our Bank&apos;s payment gateway for making this payment.</span> 
205
							</div>
206
						</form>
207
                    </div>
208
                    <div>
209
						<div class="center-text-bold12">Select Your Debit/ATM Card:</div><br/>
6086 anupam.sin 210
						<form id="atmSelection" name="atmSelection" action="recharge-payment" method="post" onsubmit="return verifyPaymentModeSelectionForm('atmSelection')">
6050 anupam.sin 211
							<input type="hidden" name="rechargeOrderId" value="$action.getRechargeOrderId()"/>
212
							<div style="margin-left:100px; margin-top:10px; margin-bottom:20px">
213
        						<div class="options">
214
                                    <input type="radio" name="payment_option" value="2000" class="marginRight5px"/>
215
    								<span class="cctext">Visa / Visa Electron Cards</span>
216
    								<div class="cclogo">
217
    									<h3>
218
    										<img src="/images/cc-logos-1.gif" valign="middle"/>
219
    									</h3>
220
    								</div>
221
									<div class="cclogo electron">
222
    									<h3>
223
    										<img src="/images/cc-logos-1.gif" valign="middle"/>
224
    									</h3>
225
    								</div>
226
									<br/>
227
								</div>
228
								<div class="options">
229
									<input type="radio" name="payment_option" value="2018" class="marginRight5px"/>
230
									<span class="cctext">MasterCard</span>
231
									<div class="cclogo old-master">
232
    									<h3>
233
    										<img src="/images/cc-logos-1.gif" valign="middle"/>
234
    									</h3>
235
    								</div>
236
									<br/>
237
								</div>
238
								<div class="options">
239
									<input type="radio" name="payment_option" value="1164" class="marginRight5px"/>
240
									<span class="cctext">Maestro Card(Except Citi Bank)</span>
241
									<div class="cclogo maestro">
242
    									<h3>
243
    										<img src="/images/cc-logos-1.gif" valign="middle"/>
244
    									</h3>
245
    								</div>
246
									<br/>
247
								</div>
248
								<div class="options">
249
									<input type="radio" name="payment_option" value="1009" class="marginRight5px"/>
250
									<span class="cctext">Citi Bank Card</span>
251
									<div class="cclogo">
252
    									<h3>
253
    										<img width="48" height="30" src="/images/citi_logo.gif" valign="middle"/>
254
    									</h3>
255
    								</div>
256
									<br/>
257
								</div>
258
 
6228 anupam.sin 259
								<div class="options">
260
                                    <input type="radio" name="payment_option" value="1001" class="marginRight5px"/>
261
                                    <span class="cctext">EBS - Test Payment</span>
262
                                    <br/>
263
                                </div>
264
 
6050 anupam.sin 265
							</div>
6228 anupam.sin 266
							#if($action.fieldsToShow().equals($action.PHONE))
6215 anupam.sin 267
                			<table id='billig-address-for-recharge' cellpadding="0" cellspacing="0">
6050 anupam.sin 268
                				<thead>
269
                					<tr class="header">
6228 anupam.sin 270
                							<td id="newAddressFormHeading" class="instruction" colspan="2"></td>
6050 anupam.sin 271
                					</tr>
272
                                </thead>
273
                				<tbody>
274
                                <tr>
6228 anupam.sin 275
                					<td class="label" align="right"><sup>*</sup>Please enter your mobile number : </td>
276
                					<td class="input">
277
                						<input type="text" id="shipPhone" name="phone" value="" class="searchbox right" />
278
                					</td>
279
                				</tr>
280
                                </tbody>
281
                			</table>
282
							<br>
283
							#elseif($action.fieldsToShow().equals($action.ADDRESS))
284
								<table id='billig-address-for-recharge' cellpadding="0" cellspacing="0">
285
                				<thead>
286
                					<tr class="header">
287
                							<td id="newAddressFormHeading" class="instruction" colspan="2">We need a billing address to send to Payment Gateway.</td>
288
                					</tr>
289
                                </thead>
290
                				<tbody>
291
                                <tr>
292
                					<td class="label" align="right"><sup>*</sup>Name:</td>
293
                					<td class="input">
294
                						<input type="text" id="shipName" name="name" class="searchbox right" />
295
                					</td>
296
                				</tr>
297
                                <tr>
298
                					<td class="label" align="right"><sup>*</sup>Address Line 1:</td>
299
                					<td class="input">
300
                						<input type="text" id="shipAddress1" name="line1" class="searchbox right" />
301
                					</td>
302
                				</tr>
303
                                <tr>
304
                					<td class="label" align="right">Address Line 2:</td>
305
                					<td class="input">
306
                						<input type="text" id="shipAddress2" name="line2" class="searchbox right" />
307
                					</td>
308
                				</tr>
309
                                <tr>
310
                					<td class="label" align="right"><sup>*</sup>State</td>
311
                					<td class="input">
312
                						<select class="select_state" name="state" id="shipState">
313
                						#include("templates/stateslist.vm")
314
                						</select>
315
                					</td>
316
                				</tr>
317
                                <tr>
318
                					<td class="label" align="right"><sup>*</sup>City:</td>
319
                					<td class="input">
320
                						<input type="text" id="shipCity" name="city" class="searchbox"/>
321
                					</td>
322
                				</tr>
323
                                <tr>
324
                					<td class="label" align="right"><sup>*</sup>Pin Code:</td>
325
                					<td class="input">
326
                						<input type="text" id="shipPin" name="pincode" value="" class="searchbox textbox-pincode" />
327
                					</td>
328
                				</tr>
329
                                <tr>
6050 anupam.sin 330
                					<td class="label" align="right"><sup>*</sup>Phone:</td>
331
                					<td class="input">
332
                						<input type="text" id="shipPhone" name="phone" value="" class="searchbox right" />
333
                					</td>
334
                				</tr>
6228 anupam.sin 335
                				<tr>
336
                					<td>&nbsp;</td>
337
                					<td class="instruction">This address will be saved for next time.</td>
338
                				</tr>
6050 anupam.sin 339
                                </tbody>
340
                			</table>
6091 anupam.sin 341
							#end
6050 anupam.sin 342
							<div style="text-align:center;">
343
    							<input type="submit" value="MAKE PAYMENT" class="make-payment-button"/>
344
								<br/><br/>
345
								<span class="center-text-bold13">You will be taken to our Bank&apos;s payment gateway for making this payment.</span>
346
							</div>
347
						</form>
348
                    </div>
349
                    <div>
350
   						<div class="center-text-bold12">Select Your Bank:</div><br/>
6086 anupam.sin 351
						<form id="bankSelection" name="bankSelection" action="recharge-payment" method="post" onsubmit="return verifyPaymentModeSelectionForm('bankSelection')">
6050 anupam.sin 352
							<input type="hidden" name="rechargeOrderId" value="$action.getRechargeOrderId()"/>
353
							<div>
354
    							<div style="padding-left:20px; margin-top:10px; margin-bottom:20px; float:left;">
355
    								<div class="options">
356
    									<input type="radio" name="payment_option" value="1004" class="marginRight5px"/>
357
    									<span class="cctext">AXIS Bank</span>
358
    									<div class="cclogo">
359
        									<h3>
360
        										<img src="/images/banks-sprite.gif" valign="middle"/>
361
        									</h3>
362
        								</div>
363
    									<br/>
364
    								</div>
365
									<div class="options">
366
    									<input type="radio" name="payment_option" value="1127" class="marginRight5px"/>
367
    									<span class="cctext">Citi Bank</span>
368
    									<div class="cclogo citibank">
369
        									<h3>
370
        										<img src="/images/banks-sprite.gif" valign="middle"/>
371
        									</h3>
372
        								</div>
373
    									<br/>
374
    								</div>
375
									<div class="options">
376
    									<input type="radio" name="payment_option" value="1135" class="marginRight5px"/>
377
    									<span class="cctext">Corportation Bank</span>
378
    									<div class="cclogo corporationbank">
379
        									<h3>
380
        										<img src="/images/banks-sprite.gif" valign="middle"/>
381
        									</h3>
382
        								</div>
383
    									<br/>
384
    								</div>
385
									<div class="options">
386
    									<input type="radio" name="payment_option" value="1029" class="marginRight5px"/>
387
    									<span class="cctext">Federal Bank</span>
388
    									<div class="cclogo federalbank">
389
        									<h3>
390
        										<img src="/images/banks-sprite.gif" valign="middle"/>
391
        									</h3>
392
        								</div>
393
    									<br/>
394
    								</div>
395
									<div class="options">
396
    									<input type="radio" name="payment_option" value="1007" class="marginRight5px"/>
397
    									<span class="cctext">HDFC Bank</span>
398
    									<div class="cclogo hdfcbank">
399
        									<h3>
400
        										<img src="/images/banks-sprite.gif" valign="middle"/>
401
        									</h3>
402
        								</div>
403
    									<br/>
404
    								</div>
405
									<div class="options">
406
    									<input type="radio" name="payment_option" value="1016" class="marginRight5px"/>
407
    									<span class="cctext">ICICI Bank</span>
408
    									<div class="cclogo icicibank">
409
        									<h3>
410
        										<img src="/images/banks-sprite.gif" valign="middle"/>
411
        									</h3>
412
        								</div>
413
    									<br/>
414
    								</div>
6210 kshitij.so 415
									<div class="options">
416
    									<input type="radio" name="payment_option" value="1147" class="marginRight5px"/>
6221 kshitij.so 417
    									<span class="cctext">Central Bank of India</span>
6210 kshitij.so 418
    									<div class="cclogo centralbankofindia">
419
        									<h3>
420
        										<img width="154" height="30" src="/images/banks-cbi.png" valign="middle"/>
421
        									</h3>
422
        								</div>
423
    									<br/>
424
    								</div>
425
									<div class="options">
426
    									<input type="radio" name="payment_option" value="1146" class="marginRight5px"/>
427
    									<span class="cctext">YES Bank</span>
428
    									<div class="cclogo yesbank">
429
        									<h3>
430
        										<img width="154" height="30" src="/images/banks-yesbank.jpg" valign="middle"/>
431
        									</h3>
432
        								</div>
433
    									<br/>
434
    								</div>
6050 anupam.sin 435
    							</div>
436
    							<div style="padding-right:20px; margin-top:10px; margin-bottom:20px; float:right;">
437
									<div class="options">
438
    									<input type="radio" name="payment_option" value="1015" class="marginRight5px"/>
439
    									<span class="cctext">JK Bank</span>
440
    									<div class="cclogo jkbank">
441
        									<h3>
442
        										<img src="/images/banks-sprite.gif" valign="middle"/>
443
        									</h3>
444
        								</div>
445
    									<br/>
446
    								</div>
447
									<div class="options">
448
    									<input type="radio" name="payment_option" value="1133" class="marginRight5px"/>
6221 kshitij.so 449
    									<span class="cctext">Karnataka Bank</span>
6050 anupam.sin 450
    									<div class="cclogo karnatkabank">
451
        									<h3>
452
        										<img src="/images/banks-sprite.gif" valign="middle"/>
453
        									</h3>
454
        								</div>
455
    									<br/>
456
    								</div>
457
									<div class="options">
458
    									<input type="radio" name="payment_option" value="1032" class="marginRight5px"/>
459
    									<span class="cctext">State Bank of India</span>
460
    									<div class="cclogo sbi">
461
        									<h3>
462
        										<img src="/images/banks-sprite.gif" valign="middle"/>
463
        									</h3>
464
        								</div>
465
    									<br/>
466
    								</div>
467
									<div class="options">
468
    									<input type="radio" name="payment_option" value="1034" class="marginRight5px"/>
469
    									<span class="cctext">State Bank of Hyderabad</span>
470
    									<div class="cclogo sbh">
471
        									<h3>
472
        										<img src="/images/banks-sprite.gif" valign="middle"/>
473
        									</h3>
474
        								</div>
475
    									<br/>
476
    								</div>
477
									<div class="options">
478
    									<input type="radio" name="payment_option" value="1038" class="marginRight5px"/>
479
    									<span class="cctext">State Bank of Mysore</span>
480
    									<div class="cclogo sbm">
481
        									<h3>
482
        										<img src="/images/banks-sprite.gif" valign="middle"/>
483
        									</h3>
484
        								</div>
485
    									<br/>
486
    								</div>
487
									<div class="options">
6210 kshitij.so 488
    									<input type="radio" name="payment_option" value="1039" class="marginRight5px"/>
6221 kshitij.so 489
    									<span class="cctext">State Bank of Travancore </span>
6210 kshitij.so 490
    									<div class="cclogo sbt">
491
        									<h3>
492
        										<img width="154" height="30" src="/images/banks-sbt.png" valign="middle"/>
493
        									</h3>
494
        								</div>
495
    									<br/>
496
    								</div>
497
									<div class="options">
6050 anupam.sin 498
    									<input type="radio" name="payment_option" value="1143" class="marginRight5px"/>
499
    									<span class="cctext">Indian Bank</span>
500
    									<div class="cclogo">
501
        									<h3>
502
        										<img width="154" height="30" src="/images/indian_bank.gif" valign="middle"/>
503
        									</h3>
504
        								</div>
505
    									<br/>
506
    								</div>
6210 kshitij.so 507
									<div class="options">
508
    									<input type="radio" name="payment_option" value="1148" class="marginRight5px"/>
509
    									<span class="cctext">Kotak Mahindra Bank</span>
510
    									<div class="cclogo kmb">
511
        									<h3>
512
        										<img width="154" height="30" src="/images/banks-kmb.gif" valign="middle"/>
513
        									</h3>
514
        								</div>
515
    									<br/>
516
    								</div>
6050 anupam.sin 517
    							</div>
518
							</div>
6228 anupam.sin 519
							#if($action.fieldsToShow().equals($action.PHONE))
6215 anupam.sin 520
                			<table id='billig-address-for-recharge' cellpadding="0" cellspacing="0">
6050 anupam.sin 521
                				<thead>
522
                					<tr class="header">
6228 anupam.sin 523
                							<td id="newAddressFormHeading" class="instruction" colspan="2"></td>
6050 anupam.sin 524
                					</tr>
525
                                </thead>
526
                				<tbody>
527
                                <tr>
6228 anupam.sin 528
                					<td class="label" align="right"><sup>*</sup>Please enter your mobile number : </td>
529
                					<td class="input">
530
                						<input type="text" id="shipPhone" name="phone" value="" class="searchbox right" />
531
                					</td>
532
                				</tr>
533
                                </tbody>
534
                			</table>
535
							<br>
536
							#elseif($action.fieldsToShow().equals($action.ADDRESS))
537
								<table id='billig-address-for-recharge' cellpadding="0" cellspacing="0">
538
                				<thead>
539
                					<tr class="header">
540
                							<td id="newAddressFormHeading" class="instruction" colspan="2">We need a billing address to send to Payment Gateway.</td>
541
                					</tr>
542
                                </thead>
543
                				<tbody>
544
                                <tr>
545
                					<td class="label" align="right"><sup>*</sup>Name:</td>
546
                					<td class="input">
547
                						<input type="text" id="shipName" name="name" class="searchbox right" />
548
                					</td>
549
                				</tr>
550
                                <tr>
551
                					<td class="label" align="right"><sup>*</sup>Address Line 1:</td>
552
                					<td class="input">
553
                						<input type="text" id="shipAddress1" name="line1" class="searchbox right" />
554
                					</td>
555
                				</tr>
556
                                <tr>
557
                					<td class="label" align="right">Address Line 2:</td>
558
                					<td class="input">
559
                						<input type="text" id="shipAddress2" name="line2" class="searchbox right" />
560
                					</td>
561
                				</tr>
562
                                <tr>
563
                					<td class="label" align="right"><sup>*</sup>State</td>
564
                					<td class="input">
565
                						<select class="select_state" name="state" id="shipState">
566
                						#include("templates/stateslist.vm")
567
                						</select>
568
                					</td>
569
                				</tr>
570
                                <tr>
571
                					<td class="label" align="right"><sup>*</sup>City:</td>
572
                					<td class="input">
573
                						<input type="text" id="shipCity" name="city" class="searchbox"/>
574
                					</td>
575
                				</tr>
576
                                <tr>
577
                					<td class="label" align="right"><sup>*</sup>Pin Code:</td>
578
                					<td class="input">
579
                						<input type="text" id="shipPin" name="pincode" value="" class="searchbox textbox-pincode" />
580
                					</td>
581
                				</tr>
582
                                <tr>
6050 anupam.sin 583
                					<td class="label" align="right"><sup>*</sup>Phone:</td>
584
                					<td class="input">
585
                						<input type="text" id="shipPhone" name="phone" value="" class="searchbox right" />
586
                					</td>
587
                				</tr>
6228 anupam.sin 588
                				<tr>
589
                					<td>&nbsp;</td>
590
                					<td class="instruction">This address will be saved for next time.</td>
591
                				</tr>
6050 anupam.sin 592
                                </tbody>
593
                			</table>
6091 anupam.sin 594
							#end
6050 anupam.sin 595
							<div style="clear:both"></div>
596
							<div style="text-align:center;">
597
    							<input type="submit" value="MAKE PAYMENT" class="make-payment-button"/>
598
								<br/><br/>
599
								<span class="center-text-bold13">You will be taken to our Bank&apos;s payment gateway for making this payment.</span>
600
							</div>
601
						</form>
602
                    </div>
603
 
604
                </div>
605
				<div class="payment-security-notice">
606
					<span class="noticetext">All the payments are secured by MasterCard SecureCode and Verified by Visa</span>
607
					<div class="noticelogo">
608
						<h3>
609
							<img src="/images/Icons_Security.png" valign="middle"/>
610
						</h3>
611
					</div>
612
					<div class="noticelogo vbv">
613
						<h3>
614
							<img src="/images/Icons_Security.png" valign="middle"/>
615
						</h3>
616
					</div>
617
				</div>
618
			  </div>
619
			</div>
620
		  </div>
621
 
622
		</div>
623
	</div>
624
</div>
625
 
626
#include("templates/footer.vm")
627
 
628
#include ( "templates/commonjsfiles.vm" )
629
<script language="javascript" type="text/javascript" src="/js/proceed-to-pay.js"></script>
630
</body>
631
</html>
632