<%@ 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>VB 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="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>