shop.balmet.com

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paymate.twig (1412B)


      1 <form action="{{ action }}" method="get">
      2   <input type="hidden" name="mid" value="{{ mid }}" />
      3   <input type="hidden" name="amt" value="{{ amt }}" />
      4   <input type="hidden" name="amt_editable" value="N" />
      5   <input type="hidden" name="currency" value="{{ currency }}" />
      6   <input type="hidden" name="ref" value="{{ ref }}" />
      7   <input type="hidden" name="pmt_sender_email" value="{{ pmt_sender_email }}" />
      8   <input type="hidden" name="pmt_contact_firstname" value="{{ pmt_contact_firstname }}" />
      9   <input type="hidden" name="pmt_contact_surname" value="{{ pmt_contact_surname }}" />
     10   <input type="hidden" name="pmt_contact_phone" value="{{ pmt_contact_phone }}" />
     11   <input type="hidden" name="pmt_country" value="{{ pmt_country }}" />
     12   <input type="hidden" name="regindi_address1" value="{{ regindi_address1 }}" />
     13   <input type="hidden" name="regindi_address2" value="{{ regindi_address2 }}" />
     14   <input type="hidden" name="regindi_sub" value="{{ regindi_sub }}" />
     15   <input type="hidden" name="regindi_state" value="{{ regindi_state }}" />
     16   <input type="hidden" name="regindi_pcode" value="{{ regindi_pcode }}" />
     17   <input type="hidden" name="return" value="{{ return }}" />
     18   <input type="hidden" name="popup" value="false" />
     19   <div class="buttons">
     20     <div class="pull-right"><input type="submit" value="{{ button_confirm }}" class="btn btn-primary" /></div>
     21   </div>
     22 </form>