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<%@ Page %>
<!DOCTYPE html
PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN"
"http://www.w3c.org/TR/xhtml1/DTD/xhtml-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
     <head>
          <title>Example ASP.NET Payment page</title>
          <meta http-equiv="Content-Type" content="text/html; charset=utf-8">
     </head>
     <body>
          <form name="payform" method="post" action="process.aspx">
               <h1>C# Example</h1>
               <P>Order Reference <input name="ccOrderRef" type="text" value="TEST" id="ccOrderRef"></P>
               <p>Purchase Amount <input name="ccAmount" type="text" value="10.00" id="ccAmount"></p>
               <p>Card Type
                    <select name="ccType" id="ccType">
                         <option selected value="1">Visa</option>
                         <option value="2">Mastercard</option>
                         <option value="3">American Express</option>
                         <option value="4">Diners Club</option>
                    </select>
               </p>
               <p>Card Number <input name="ccNum" type="text" value="4987654321098769" id="ccNum"></p>
               <p>Expiry <input name="ccExpiry" type="text" value="0607" id="ccExpiry"></p>
               <p>Holder Name <input name="ccHolder" type="text" value="Test Card Holder" id="ccHolder"></p>
               <p><input type="submit" name="Process" value="Process"></p>
          </form>
     </body>
</html>