43 lines
1.3 KiB
HTML
43 lines
1.3 KiB
HTML
<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1">
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<title>Credit Card</title>
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<link rel="stylesheet" href="creditcard.css">
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</head>
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<body>
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<h1>Credit Card</h1>
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<form action="confirm.html" method="post">
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<label for="name">Name:</label>
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<input type="text" name="name" id="name" required autofocus>
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<span></span>
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<br>
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<label for="ccnumber">Card Number:</label>
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<input type="text" name="ccnumber" id="ccnumber"
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pattern="[0-9]{16}" title="Must be 16 digits." required>
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<span></span>
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<br>
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<label for="expdate">Expiration Date (MM/YY):</label>
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<input type="text" name="expdate" id="expdate"
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pattern="[0-9]{2}\/[0-9]{2}" title="Must be a future date in MM/YY format." required>
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<span></span>
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<br>
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<label for="securitycode">Security Code:</label>
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<input type="text" name="securitycode" id="securitycode"
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pattern="[0-9]{3}" title="Must be 3 digits." required>
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<span></span>
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<br>
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<label></label>
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<input type="submit" id="save" value="Save">
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</form>
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<p id="message"></p>
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<script src="creditcard.js"></script>
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</body>
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</html> |