47 lines
No EOL
1.2 KiB
HTML
47 lines
No EOL
1.2 KiB
HTML
<div class="card">
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<div class="card-body">
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<div class="mb-3">
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<div class="form-label">Card number</div>
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{% include "ui/form/input-mask.html" mask="0000 0000 0000 0000" visible=true %}
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</div>
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<div class="mb-3">
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<div class="form-label">Card name</div>
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<input type="text" class="form-control">
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</div>
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<div class="row">
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<div class="col-8">
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<div class="mb-3">
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<label class="form-label">Expiration date</label>
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<div class="row g-2">
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<div class="col">
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<select class="form-select">
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{% for month in (1..12) %}
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<option value="{{ month }}">{{ month }}</option>
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{% endfor %}
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</select>
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</div>
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<div class="col">
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<select class="form-select">
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{% for year in (2020..2030) %}
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<option value="{{ year }}">{{ year }}</option>
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{% endfor %}
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</select>
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</div>
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</div>
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</div>
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</div>
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<div class="col">
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<div class="mb-3">
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<div class="form-label">CVV</div>
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<input type="number" class="form-control">
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</div>
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</div>
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</div>
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<div class="mt-2">
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{% include "ui/button.html" text="Pay now" color="primary" block=true %}
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</div>
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</div>
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</div> |