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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
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<html xmlns="http://www.w3.org/1999/xhtml">
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<head>
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<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
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<!-- Prevent MS Office toolbar from changing layout -->
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<meta http-equiv="imagetoolbar" content="false">
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<meta name="MSSmartTagsPreventParsing" content="true">
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<title>Recharge Pay Options</title>
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<!-- start of new code -->
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#include ( "templates/commoncssfiles.vm" )
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<style type="text/css">
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#registration {
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margin: 10px 0px 4px;
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}
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.main-left-banner img {
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width: 980px;
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}
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label.error{
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color:red;
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font-size:13px;
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padding: 2px 10px;
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</style>
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<script language="javascript" type="text/javascript" src="/js/ga-invoker.js"></script>
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</head>
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<body>
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<noscript>
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<p id="noScript">Please enable <em>Javascript</em> for this Website to function correctly!</p>
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</noscript>
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$action.getHeaderSnippet()
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<div id="main">
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<div class="main-content">
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<div class="main-top"></div>
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<div class="main-left-banner">
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<script type='text/javascript'><!--//<![CDATA[
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var m3_u = (location.protocol=='https:'?'https://open.saholic.com/openx/www/delivery/ajs.php':'http://open.saholic.com/openx/www/delivery/ajs.php');
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var m3_r = Math.floor(Math.random()*99999999999);
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if (!document.MAX_used) document.MAX_used = ',';
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document.write ("<scr"+"ipt type='text/javascript' src='"+m3_u);
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document.write ("?zoneid=1");
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document.write ('&cb=' + m3_r);
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if (document.MAX_used != ',') document.write ("&exclude=" + document.MAX_used);
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document.write (document.charset ? '&charset='+document.charset : (document.characterSet ? '&charset='+document.characterSet : ''));
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document.write ("&loc=" + escape(window.location));
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if (document.referrer) document.write ("&referer=" + escape(document.referrer));
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if (document.context) document.write ("&context=" + escape(document.context));
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if (document.mmm_fo) document.write ("&mmm_fo=1");
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document.write ("'><\/script>");
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//]]>--></script><noscript><a href='http://open.saholic.com/openx/www/delivery/ck.php?n=a592d2cd&cb=INSERT_RANDOM_NUMBER_HERE' target='_blank'><img src='http://open.saholic.com/openx/www/delivery/avw.php?zoneid=1&cb=INSERT_RANDOM_NUMBER_HERE&n=a592d2cd' border='0' alt='' /></a></noscript>
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</div>
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<div id="registration" class="blue-border">
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<div class="middle">
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<div class="mid-inner">
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<!-- Block 1 -->
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<div class="padding-top17">
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#set($errorMsg=$action.getErrorMsg())
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#if(!$errorMsg.isEmpty())
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<div id="messageError">
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<span></span>
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<p>
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$errorMsg <br/>
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</p>
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</div>
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#end
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#set($rechargeAmount=$action.getAmount())
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#set($fieldsToShow=$action.fieldsToShow())
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#set($rechargeOrder=$action.getRechargeOrder())
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<h4 style="font-size:16px; font-weight:bold"><span style="color:#999999">Amount to be Paid:</span> Rs <span style="color:#333333">$rechargeAmount</span></h4>
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<br/>
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<div id="vtab">
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<ul>
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<li>CREDIT CARDS</li>
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<li>DEBIT/ATM CARDS</li>
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<li>NET BANKING</li>
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</ul>
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<div>
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<div class="center-text-bold12">Select Your Credit Card:</div><br/>
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<form id="ccSelection" name="ccSelection" action="/recharge-payment" method="post" onsubmit="return verifyPaymentModeSelectionForm('ccSelection')">
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<input type="hidden" name="rechargeOrderId" value="$action.getRechargeOrderId()"/>
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<div class="ccdiv" style="float:left; margin-left:48px;width:552px">
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<div class="ccheader-div" style="width:542px"><b>Please choose the payment system.</b></div>
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<div style="padding: 20px">
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<div class="options">
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<input type="radio" name="payment_option" value="2008" class="marginRight5px"/>
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<div class="newcclogo visa">
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<h3>
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<img src="/images/Icons_CreditCardsPayment.png" valign="middle"/>
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</h3>
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</div>
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<span class="cctext">Visa</span>
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<br/>
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</div>
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<div class="options">
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<input type="radio" name="payment_option" value="2017" class="marginRight5px"/>
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<div class="newcclogo">
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<h3>
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<img src="/images/Icons_CreditCardsPayment.png" valign="middle"/>
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</h3>
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</div>
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<span class="cctext">MasterCard</span>
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<br/>
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</div>
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<div class="options">
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<input type="radio" name="payment_option" value="1010" class="marginRight5px"/>
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<div class="newcclogo diners">
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<h3>
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<img src="/images/Icons_CreditCardsPayment.png" valign="middle"/>
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</h3>
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</div>
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<span class="cctext">Diners Club</span>
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<br/>
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</div>
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</div>
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</div>
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<div style="clear:both"></div>
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#if($fieldsToShow == "phone")
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#if($rechargeOrder.getRechargeType() == "MOBILE")
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<input type="hidden" id="shipPhone" name="phone" value="$action.getPhone()" />
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#else
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<table id='billig-address-for-recharge' cellpadding="0" cellspacing="0">
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<thead>
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<tr class="header">
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<td id="newAddressFormHeading" class="instruction" colspan="2"></td>
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</tr>
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</thead>
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<tbody>
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<tr>
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<td class="label" align="right"><sup>*</sup>Please enter your mobile number : </td>
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<td class="input">
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<input type="text" id="shipPhone" name="phone" value="$action.getPhone()" class="searchbox right" />
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</td>
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</tr>
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</tbody>
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</table>
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<br>
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#end
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#elseif($fieldsToShow == "address")
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<table id='billig-address-for-recharge' cellpadding="0" cellspacing="0">
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<thead>
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<tr class="header">
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<td id="newAddressFormHeading" class="instruction" colspan="2">We need a billing address to send to Payment Gateway.</td>
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</tr>
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</thead>
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<tbody>
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<tr>
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<td class="label" align="right"><sup>*</sup>Name:</td>
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<td class="input">
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<input type="text" id="shipName" name="name" class="searchbox right" />
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</td>
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</tr>
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<tr>
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<td class="label" align="right"><sup>*</sup>Address Line 1:</td>
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<td class="input">
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<input type="text" id="shipAddress1" name="line1" class="searchbox right" />
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</td>
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</tr>
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<tr>
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<td class="label" align="right">Address Line 2:</td>
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<td class="input">
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<input type="text" id="shipAddress2" name="line2" class="searchbox right" />
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</td>
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</tr>
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<tr>
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<td class="label" align="right"><sup>*</sup>State</td>
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<td class="input">
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<select class="select_state" name="state" id="shipState">
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#include("templates/stateslist.vm")
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</select>
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</td>
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</tr>
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<tr>
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<td class="label" align="right"><sup>*</sup>City:</td>
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<td class="input">
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<input type="text" id="shipCity" name="city" class="searchbox"/>
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</td>
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</tr>
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<tr>
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<td class="label" align="right"><sup>*</sup>Pin Code:</td>
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<td class="input">
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<input type="text" id="shipPin" name="pincode" value="" class="searchbox textbox-pincode" />
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</td>
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</tr>
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<tr>
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<td class="label" align="right"><sup>*</sup>Phone:</td>
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<td class="input">
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<input type="text" id="shipPhone" name="phone" value="" class="searchbox right" />
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</td>
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</tr>
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<tr>
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<td> </td>
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<td class="instruction">This address will be saved for next time.</td>
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</tr>
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</tbody>
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</table>
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#end
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<div style="text-align:center;">
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<input type="submit" value="MAKE PAYMENT" class="make-payment-button" id="make-payment-recharge-button"/>
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<br/><br/>
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<span class="center-text-bold13">You will be taken to our Bank's payment gateway for making this payment.</span>
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</div>
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</form>
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</div>
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<div>
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<div class="center-text-bold12">Select Your Debit/ATM Card:</div><br/>
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<form id="atmSelection" name="atmSelection" action="recharge-payment" method="post" onsubmit="return verifyPaymentModeSelectionForm('atmSelection')">
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<input type="hidden" name="rechargeOrderId" value="$action.getRechargeOrderId()"/>
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<div style="margin-left:100px; margin-top:10px; margin-bottom:20px">
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<div class="options">
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<input type="radio" name="payment_option" value="2000" class="marginRight5px"/>
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<span class="cctext">Visa / Visa Electron Cards</span>
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<div class="cclogo">
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<h3>
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<img src="/images/cc-logos-1.gif" valign="middle"/>
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</h3>
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</div>
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<div class="cclogo electron">
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<h3>
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<img src="/images/cc-logos-1.gif" valign="middle"/>
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</h3>
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</div>
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<br/>
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</div>
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<div class="options">
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<input type="radio" name="payment_option" value="2018" class="marginRight5px"/>
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<span class="cctext">MasterCard</span>
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<div class="cclogo old-master">
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<h3>
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<img src="/images/cc-logos-1.gif" valign="middle"/>
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</h3>
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</div>
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<br/>
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</div>
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<div class="options">
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<input type="radio" name="payment_option" value="1164" class="marginRight5px"/>
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<span class="cctext">Maestro Card(Except Citi Bank)</span>
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<div class="cclogo maestro">
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<h3>
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<img src="/images/cc-logos-1.gif" valign="middle"/>
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</h3>
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</div>
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<br/>
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</div>
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<div class="options">
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<input type="radio" name="payment_option" value="1009" class="marginRight5px"/>
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<span class="cctext">Citi Bank Card</span>
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<div class="cclogo">
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<h3>
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<img width="48" height="30" src="/images/citi_logo.gif" valign="middle"/>
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</h3>
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</div>
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<br/>
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</div>
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</div>
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#if($fieldsToShow == "phone")
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#if($rechargeOrder.getRechargeType() == "MOBILE")
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<input type="hidden" id="shipPhone" name="phone" value="$action.getPhone()" />
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#else
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<table id='billig-address-for-recharge' cellpadding="0" cellspacing="0">
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<thead>
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<tr class="header">
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<td id="newAddressFormHeading" class="instruction" colspan="2"></td>
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</tr>
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</thead>
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<tbody>
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<tr>
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<td class="label" align="right"><sup>*</sup>Please enter your mobile number : </td>
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<td class="input">
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<input type="text" id="shipPhone" name="phone" value="$action.getPhone()" class="searchbox right" />
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</td>
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</tr>
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</tbody>
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</table>
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<br>
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#end
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#elseif($fieldsToShow == "address")
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<table id='billig-address-for-recharge' cellpadding="0" cellspacing="0">
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<thead>
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<tr class="header">
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<td id="newAddressFormHeading" class="instruction" colspan="2">We need a billing address to send to Payment Gateway.</td>
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</tr>
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</thead>
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<tbody>
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<tr>
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<td class="label" align="right"><sup>*</sup>Name:</td>
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<td class="input">
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<input type="text" id="shipName" name="name" class="searchbox right" />
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</td>
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</tr>
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<tr>
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<td class="label" align="right"><sup>*</sup>Address Line 1:</td>
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<td class="input">
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<input type="text" id="shipAddress1" name="line1" class="searchbox right" />
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</td>
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</tr>
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<tr>
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<td class="label" align="right">Address Line 2:</td>
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<td class="input">
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<input type="text" id="shipAddress2" name="line2" class="searchbox right" />
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</td>
|
|
|
310 |
</tr>
|
| 6228 |
anupam.sin |
311 |
<tr>
|
| 6239 |
anupam.sin |
312 |
<td class="label" align="right"><sup>*</sup>State</td>
|
|
|
313 |
<td class="input">
|
|
|
314 |
<select class="select_state" name="state" id="shipState">
|
|
|
315 |
#include("templates/stateslist.vm")
|
|
|
316 |
</select>
|
|
|
317 |
</td>
|
|
|
318 |
</tr>
|
| 6228 |
anupam.sin |
319 |
<tr>
|
| 6239 |
anupam.sin |
320 |
<td class="label" align="right"><sup>*</sup>City:</td>
|
|
|
321 |
<td class="input">
|
|
|
322 |
<input type="text" id="shipCity" name="city" class="searchbox"/>
|
|
|
323 |
</td>
|
|
|
324 |
</tr>
|
| 6228 |
anupam.sin |
325 |
<tr>
|
| 6239 |
anupam.sin |
326 |
<td class="label" align="right"><sup>*</sup>Pin Code:</td>
|
|
|
327 |
<td class="input">
|
|
|
328 |
<input type="text" id="shipPin" name="pincode" value="" class="searchbox textbox-pincode" />
|
|
|
329 |
</td>
|
|
|
330 |
</tr>
|
| 6228 |
anupam.sin |
331 |
<tr>
|
| 6239 |
anupam.sin |
332 |
<td class="label" align="right"><sup>*</sup>Phone:</td>
|
|
|
333 |
<td class="input">
|
|
|
334 |
<input type="text" id="shipPhone" name="phone" value="" class="searchbox right" />
|
|
|
335 |
</td>
|
|
|
336 |
</tr>
|
|
|
337 |
<tr>
|
|
|
338 |
<td> </td>
|
|
|
339 |
<td class="instruction">This address will be saved for next time.</td>
|
|
|
340 |
</tr>
|
| 6050 |
anupam.sin |
341 |
</tbody>
|
| 6239 |
anupam.sin |
342 |
</table>
|
|
|
343 |
#end
|
| 6050 |
anupam.sin |
344 |
<div style="text-align:center;">
|
|
|
345 |
<input type="submit" value="MAKE PAYMENT" class="make-payment-button"/>
|
|
|
346 |
<br/><br/>
|
|
|
347 |
<span class="center-text-bold13">You will be taken to our Bank's payment gateway for making this payment.</span>
|
|
|
348 |
</div>
|
|
|
349 |
</form>
|
|
|
350 |
</div>
|
|
|
351 |
<div>
|
|
|
352 |
<div class="center-text-bold12">Select Your Bank:</div><br/>
|
| 6086 |
anupam.sin |
353 |
<form id="bankSelection" name="bankSelection" action="recharge-payment" method="post" onsubmit="return verifyPaymentModeSelectionForm('bankSelection')">
|
| 6050 |
anupam.sin |
354 |
<input type="hidden" name="rechargeOrderId" value="$action.getRechargeOrderId()"/>
|
|
|
355 |
<div>
|
|
|
356 |
<div style="padding-left:20px; margin-top:10px; margin-bottom:20px; float:left;">
|
|
|
357 |
<div class="options">
|
|
|
358 |
<input type="radio" name="payment_option" value="1004" class="marginRight5px"/>
|
|
|
359 |
<span class="cctext">AXIS Bank</span>
|
|
|
360 |
<div class="cclogo">
|
|
|
361 |
<h3>
|
|
|
362 |
<img src="/images/banks-sprite.gif" valign="middle"/>
|
|
|
363 |
</h3>
|
|
|
364 |
</div>
|
|
|
365 |
<br/>
|
|
|
366 |
</div>
|
|
|
367 |
<div class="options">
|
|
|
368 |
<input type="radio" name="payment_option" value="1127" class="marginRight5px"/>
|
|
|
369 |
<span class="cctext">Citi Bank</span>
|
|
|
370 |
<div class="cclogo citibank">
|
|
|
371 |
<h3>
|
|
|
372 |
<img src="/images/banks-sprite.gif" valign="middle"/>
|
|
|
373 |
</h3>
|
|
|
374 |
</div>
|
|
|
375 |
<br/>
|
|
|
376 |
</div>
|
|
|
377 |
<div class="options">
|
|
|
378 |
<input type="radio" name="payment_option" value="1135" class="marginRight5px"/>
|
|
|
379 |
<span class="cctext">Corportation Bank</span>
|
|
|
380 |
<div class="cclogo corporationbank">
|
|
|
381 |
<h3>
|
|
|
382 |
<img src="/images/banks-sprite.gif" valign="middle"/>
|
|
|
383 |
</h3>
|
|
|
384 |
</div>
|
|
|
385 |
<br/>
|
|
|
386 |
</div>
|
|
|
387 |
<div class="options">
|
|
|
388 |
<input type="radio" name="payment_option" value="1029" class="marginRight5px"/>
|
|
|
389 |
<span class="cctext">Federal Bank</span>
|
|
|
390 |
<div class="cclogo federalbank">
|
|
|
391 |
<h3>
|
|
|
392 |
<img src="/images/banks-sprite.gif" valign="middle"/>
|
|
|
393 |
</h3>
|
|
|
394 |
</div>
|
|
|
395 |
<br/>
|
|
|
396 |
</div>
|
|
|
397 |
<div class="options">
|
|
|
398 |
<input type="radio" name="payment_option" value="1007" class="marginRight5px"/>
|
|
|
399 |
<span class="cctext">HDFC Bank</span>
|
|
|
400 |
<div class="cclogo hdfcbank">
|
|
|
401 |
<h3>
|
|
|
402 |
<img src="/images/banks-sprite.gif" valign="middle"/>
|
|
|
403 |
</h3>
|
|
|
404 |
</div>
|
|
|
405 |
<br/>
|
|
|
406 |
</div>
|
|
|
407 |
<div class="options">
|
|
|
408 |
<input type="radio" name="payment_option" value="1016" class="marginRight5px"/>
|
|
|
409 |
<span class="cctext">ICICI Bank</span>
|
|
|
410 |
<div class="cclogo icicibank">
|
|
|
411 |
<h3>
|
|
|
412 |
<img src="/images/banks-sprite.gif" valign="middle"/>
|
|
|
413 |
</h3>
|
|
|
414 |
</div>
|
|
|
415 |
<br/>
|
|
|
416 |
</div>
|
| 6210 |
kshitij.so |
417 |
<div class="options">
|
|
|
418 |
<input type="radio" name="payment_option" value="1147" class="marginRight5px"/>
|
| 6221 |
kshitij.so |
419 |
<span class="cctext">Central Bank of India</span>
|
| 6210 |
kshitij.so |
420 |
<div class="cclogo centralbankofindia">
|
|
|
421 |
<h3>
|
|
|
422 |
<img width="154" height="30" src="/images/banks-cbi.png" valign="middle"/>
|
|
|
423 |
</h3>
|
|
|
424 |
</div>
|
|
|
425 |
<br/>
|
|
|
426 |
</div>
|
|
|
427 |
<div class="options">
|
|
|
428 |
<input type="radio" name="payment_option" value="1146" class="marginRight5px"/>
|
|
|
429 |
<span class="cctext">YES Bank</span>
|
|
|
430 |
<div class="cclogo yesbank">
|
|
|
431 |
<h3>
|
|
|
432 |
<img width="154" height="30" src="/images/banks-yesbank.jpg" valign="middle"/>
|
|
|
433 |
</h3>
|
|
|
434 |
</div>
|
|
|
435 |
<br/>
|
|
|
436 |
</div>
|
| 6050 |
anupam.sin |
437 |
</div>
|
|
|
438 |
<div style="padding-right:20px; margin-top:10px; margin-bottom:20px; float:right;">
|
|
|
439 |
<div class="options">
|
|
|
440 |
<input type="radio" name="payment_option" value="1015" class="marginRight5px"/>
|
|
|
441 |
<span class="cctext">JK Bank</span>
|
|
|
442 |
<div class="cclogo jkbank">
|
|
|
443 |
<h3>
|
|
|
444 |
<img src="/images/banks-sprite.gif" valign="middle"/>
|
|
|
445 |
</h3>
|
|
|
446 |
</div>
|
|
|
447 |
<br/>
|
|
|
448 |
</div>
|
|
|
449 |
<div class="options">
|
|
|
450 |
<input type="radio" name="payment_option" value="1133" class="marginRight5px"/>
|
| 6221 |
kshitij.so |
451 |
<span class="cctext">Karnataka Bank</span>
|
| 6050 |
anupam.sin |
452 |
<div class="cclogo karnatkabank">
|
|
|
453 |
<h3>
|
|
|
454 |
<img src="/images/banks-sprite.gif" valign="middle"/>
|
|
|
455 |
</h3>
|
|
|
456 |
</div>
|
|
|
457 |
<br/>
|
|
|
458 |
</div>
|
|
|
459 |
<div class="options">
|
|
|
460 |
<input type="radio" name="payment_option" value="1032" class="marginRight5px"/>
|
|
|
461 |
<span class="cctext">State Bank of India</span>
|
|
|
462 |
<div class="cclogo sbi">
|
|
|
463 |
<h3>
|
|
|
464 |
<img src="/images/banks-sprite.gif" valign="middle"/>
|
|
|
465 |
</h3>
|
|
|
466 |
</div>
|
|
|
467 |
<br/>
|
|
|
468 |
</div>
|
|
|
469 |
<div class="options">
|
|
|
470 |
<input type="radio" name="payment_option" value="1034" class="marginRight5px"/>
|
|
|
471 |
<span class="cctext">State Bank of Hyderabad</span>
|
|
|
472 |
<div class="cclogo sbh">
|
|
|
473 |
<h3>
|
|
|
474 |
<img src="/images/banks-sprite.gif" valign="middle"/>
|
|
|
475 |
</h3>
|
|
|
476 |
</div>
|
|
|
477 |
<br/>
|
|
|
478 |
</div>
|
|
|
479 |
<div class="options">
|
|
|
480 |
<input type="radio" name="payment_option" value="1038" class="marginRight5px"/>
|
|
|
481 |
<span class="cctext">State Bank of Mysore</span>
|
|
|
482 |
<div class="cclogo sbm">
|
|
|
483 |
<h3>
|
|
|
484 |
<img src="/images/banks-sprite.gif" valign="middle"/>
|
|
|
485 |
</h3>
|
|
|
486 |
</div>
|
|
|
487 |
<br/>
|
|
|
488 |
</div>
|
|
|
489 |
<div class="options">
|
| 6210 |
kshitij.so |
490 |
<input type="radio" name="payment_option" value="1039" class="marginRight5px"/>
|
| 6221 |
kshitij.so |
491 |
<span class="cctext">State Bank of Travancore </span>
|
| 6210 |
kshitij.so |
492 |
<div class="cclogo sbt">
|
|
|
493 |
<h3>
|
|
|
494 |
<img width="154" height="30" src="/images/banks-sbt.png" valign="middle"/>
|
|
|
495 |
</h3>
|
|
|
496 |
</div>
|
|
|
497 |
<br/>
|
|
|
498 |
</div>
|
|
|
499 |
<div class="options">
|
| 6050 |
anupam.sin |
500 |
<input type="radio" name="payment_option" value="1143" class="marginRight5px"/>
|
|
|
501 |
<span class="cctext">Indian Bank</span>
|
|
|
502 |
<div class="cclogo">
|
|
|
503 |
<h3>
|
|
|
504 |
<img width="154" height="30" src="/images/indian_bank.gif" valign="middle"/>
|
|
|
505 |
</h3>
|
|
|
506 |
</div>
|
|
|
507 |
<br/>
|
|
|
508 |
</div>
|
| 6210 |
kshitij.so |
509 |
<div class="options">
|
|
|
510 |
<input type="radio" name="payment_option" value="1148" class="marginRight5px"/>
|
|
|
511 |
<span class="cctext">Kotak Mahindra Bank</span>
|
|
|
512 |
<div class="cclogo kmb">
|
|
|
513 |
<h3>
|
|
|
514 |
<img width="154" height="30" src="/images/banks-kmb.gif" valign="middle"/>
|
|
|
515 |
</h3>
|
|
|
516 |
</div>
|
|
|
517 |
<br/>
|
|
|
518 |
</div>
|
| 6050 |
anupam.sin |
519 |
</div>
|
|
|
520 |
</div>
|
| 6239 |
anupam.sin |
521 |
#if($fieldsToShow == "phone")
|
|
|
522 |
#if($rechargeOrder.getRechargeType() == "MOBILE")
|
|
|
523 |
<input type="hidden" id="shipPhone" name="phone" value="$action.getPhone()" />
|
|
|
524 |
#else
|
|
|
525 |
<table id='billig-address-for-recharge' cellpadding="0" cellspacing="0">
|
|
|
526 |
<thead>
|
|
|
527 |
<tr class="header">
|
|
|
528 |
<td id="newAddressFormHeading" class="instruction" colspan="2"></td>
|
|
|
529 |
</tr>
|
|
|
530 |
</thead>
|
|
|
531 |
<tbody>
|
|
|
532 |
<tr>
|
|
|
533 |
<td class="label" align="right"><sup>*</sup>Please enter your mobile number : </td>
|
|
|
534 |
<td class="input">
|
|
|
535 |
<input type="text" id="shipPhone" name="phone" value="$action.getPhone()" class="searchbox right" />
|
|
|
536 |
</td>
|
|
|
537 |
</tr>
|
|
|
538 |
</tbody>
|
|
|
539 |
</table>
|
|
|
540 |
<br>
|
|
|
541 |
#end
|
|
|
542 |
#elseif($fieldsToShow == "address")
|
|
|
543 |
<table id='billig-address-for-recharge' cellpadding="0" cellspacing="0">
|
|
|
544 |
<thead>
|
|
|
545 |
<tr class="header">
|
|
|
546 |
<td id="newAddressFormHeading" class="instruction" colspan="2">We need a billing address to send to Payment Gateway.</td>
|
|
|
547 |
</tr>
|
| 6050 |
anupam.sin |
548 |
</thead>
|
| 6239 |
anupam.sin |
549 |
<tbody>
|
| 6050 |
anupam.sin |
550 |
<tr>
|
| 6239 |
anupam.sin |
551 |
<td class="label" align="right"><sup>*</sup>Name:</td>
|
|
|
552 |
<td class="input">
|
|
|
553 |
<input type="text" id="shipName" name="name" class="searchbox right" />
|
|
|
554 |
</td>
|
|
|
555 |
</tr>
|
| 6228 |
anupam.sin |
556 |
<tr>
|
| 6239 |
anupam.sin |
557 |
<td class="label" align="right"><sup>*</sup>Address Line 1:</td>
|
|
|
558 |
<td class="input">
|
|
|
559 |
<input type="text" id="shipAddress1" name="line1" class="searchbox right" />
|
|
|
560 |
</td>
|
|
|
561 |
</tr>
|
| 6228 |
anupam.sin |
562 |
<tr>
|
| 6239 |
anupam.sin |
563 |
<td class="label" align="right">Address Line 2:</td>
|
|
|
564 |
<td class="input">
|
|
|
565 |
<input type="text" id="shipAddress2" name="line2" class="searchbox right" />
|
|
|
566 |
</td>
|
|
|
567 |
</tr>
|
| 6228 |
anupam.sin |
568 |
<tr>
|
| 6239 |
anupam.sin |
569 |
<td class="label" align="right"><sup>*</sup>State</td>
|
|
|
570 |
<td class="input">
|
|
|
571 |
<select class="select_state" name="state" id="shipState">
|
|
|
572 |
#include("templates/stateslist.vm")
|
|
|
573 |
</select>
|
|
|
574 |
</td>
|
|
|
575 |
</tr>
|
| 6228 |
anupam.sin |
576 |
<tr>
|
| 6239 |
anupam.sin |
577 |
<td class="label" align="right"><sup>*</sup>City:</td>
|
|
|
578 |
<td class="input">
|
|
|
579 |
<input type="text" id="shipCity" name="city" class="searchbox"/>
|
|
|
580 |
</td>
|
|
|
581 |
</tr>
|
| 6228 |
anupam.sin |
582 |
<tr>
|
| 6239 |
anupam.sin |
583 |
<td class="label" align="right"><sup>*</sup>Pin Code:</td>
|
|
|
584 |
<td class="input">
|
|
|
585 |
<input type="text" id="shipPin" name="pincode" value="" class="searchbox textbox-pincode" />
|
|
|
586 |
</td>
|
|
|
587 |
</tr>
|
| 6228 |
anupam.sin |
588 |
<tr>
|
| 6239 |
anupam.sin |
589 |
<td class="label" align="right"><sup>*</sup>Phone:</td>
|
|
|
590 |
<td class="input">
|
|
|
591 |
<input type="text" id="shipPhone" name="phone" value="" class="searchbox right" />
|
|
|
592 |
</td>
|
|
|
593 |
</tr>
|
|
|
594 |
<tr>
|
|
|
595 |
<td> </td>
|
|
|
596 |
<td class="instruction">This address will be saved for next time.</td>
|
|
|
597 |
</tr>
|
| 6050 |
anupam.sin |
598 |
</tbody>
|
| 6239 |
anupam.sin |
599 |
</table>
|
|
|
600 |
#end
|
| 6050 |
anupam.sin |
601 |
<div style="clear:both"></div>
|
|
|
602 |
<div style="text-align:center;">
|
|
|
603 |
<input type="submit" value="MAKE PAYMENT" class="make-payment-button"/>
|
|
|
604 |
<br/><br/>
|
|
|
605 |
<span class="center-text-bold13">You will be taken to our Bank's payment gateway for making this payment.</span>
|
|
|
606 |
</div>
|
|
|
607 |
</form>
|
|
|
608 |
</div>
|
|
|
609 |
|
|
|
610 |
</div>
|
|
|
611 |
<div class="payment-security-notice">
|
|
|
612 |
<span class="noticetext">All the payments are secured by MasterCard SecureCode and Verified by Visa</span>
|
|
|
613 |
<div class="noticelogo">
|
|
|
614 |
<h3>
|
|
|
615 |
<img src="/images/Icons_Security.png" valign="middle"/>
|
|
|
616 |
</h3>
|
|
|
617 |
</div>
|
|
|
618 |
<div class="noticelogo vbv">
|
|
|
619 |
<h3>
|
|
|
620 |
<img src="/images/Icons_Security.png" valign="middle"/>
|
|
|
621 |
</h3>
|
|
|
622 |
</div>
|
|
|
623 |
</div>
|
|
|
624 |
</div>
|
|
|
625 |
</div>
|
|
|
626 |
</div>
|
|
|
627 |
|
|
|
628 |
</div>
|
|
|
629 |
</div>
|
|
|
630 |
</div>
|
|
|
631 |
|
|
|
632 |
#include("templates/footer.vm")
|
|
|
633 |
|
|
|
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#include ( "templates/commonjsfiles.vm" )
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<script language="javascript" type="text/javascript" src="/js/proceed-to-pay.js"></script>
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</body>
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anupam.sin |
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</html>
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