rendered paste body<?php
if(isset($_GET)) {
if ($_GET['err'] == '357') {
$errmsg = "Blank fields are not permitted.";
}
}
?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Jackal Wireless - Casual Payment System</title>
<link rel="stylesheet" type="text/css" href="style.css">
</head>
<body bgcolor="#000000" text="white" link="silver" vlink="silver" marginwidth=0 marginheight=0 leftmargin=0 topmargin=0 background="images/bg.gif">
<img src="logo.png" alt="Jackal Wireless"><br /><br />
<p>Casual Payment System</p>
<p>Please be aware that the amount you enter will be charged to your credit card.</p>
<?php
if (isset($errmsg)) {
echo "<p><font color=\"#FF0000\"><h3>" . $errmsg . "</h3></font></p>";
}
?>
<div class="container">
<form action="caspay-proc.php" name="purchaseForm" method="post">
<input type="hidden" name="validated" value="validated">
<table class="formTable">
<tr>
<td>First name:</td>
<td><input type="text" name="firstname" id="firstname" /></td>
</tr>
<tr>
<td>Last name:</td>
<td><input type="text" name="lastname"></td>
</tr>
<tr>
<td>Email Address:</td>
<td><input type="text" name="email"></td>
</tr>
<tr>
<td>Amount (USD):</td>
<td><input type="text" name="amount"></td>
</tr>
<tr>
<td>
Purpose of Payment:<br />
<div style="font:75%">(If we don't know what it's for,<br />
it might not be credited correctly!)</div>
</td>
<td><input type="text" name="purpose"></td>
</tr>
</table>
<input class="submit1" type="submit" value="Buy!">
</form>
<br><center><a href="contact.php" target="_blank">Refund Policy and Contact Information</a><br></center>
</div>
</body>
</html>
?>