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rooms_payment_details.php
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rooms_payment_details.php
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<? include "auth.php";
include "themes/header.php";
?>
<tr><td valign=top>
<?
include "themes/menu.php";
?>
</td>
<td>
<form action="rooms_confirm.php" method="post">
<table>
<tr><td colspan=2 align=center><? print TEXT_CONFIRMATION_OF_BOOKING ?></td></tr><tr><td colspan=2>
<table width=100% cellpadding="6">
<tr align="center"><td>Visa</td><td>MasterCard</td><td> </td></tr>
<tr align=center>
<td><input type=radio name="cc" value="Visa" CHECKED></td>
<td><input type=radio name="cc" value="MasterCard"></td>
<td>
<select name="cc_other">
<option value=""><? print TEXT_OTHER ?></option>
<option value="Amex"><? print TEXT_AMEX ?></option>
<option value="Diners"><? print TEXT_DINERS ?></option>
<option value="Laser"><? print TEXT_LASER ?></option>
</select>
</td>
</tr>
</table>
</td></tr><tr><td><? print TEXT_NAME_ON_CARD_2 ?></td><td> <input name="name_on_card">
</td></tr><tr><td><? print TEXT_CARD_NUMBER_2 ?></td><td> <input name="card_number">
</td></tr><tr><td>
<? print TEXT_EXPIRES ?></td><td>
<select name="expire_month">
<option value="January"><? print TEXT_JANUARY ?>
<option value="February"><? print TEXT_FEBRUARY ?>
<option value="March"><? print TEXT_MARCH ?>
<option value="April"><? print TEXT_APRIL ?>
<option value="May"><? print TEXT_MAY ?>
<option value="June"><? print TEXT_JUNE ?>
<option value="July"><? print TEXT_JULY ?>
<option value="August"><? print TEXT_AUGUST ?>
<option value="September"><? print TEXT_SEPTEMBER ?>
<option value="October"><? print TEXT_OCTOBER ?>
<option value="November"><? print TEXT_NOVEMBER ?>
<option value="December"><? print TEXT_DECEMBER ?>
</select>
<select name="expire_year">
<option value="2001">2001
<option value="2002">2002
<option value="2003">2003
<option value="2004">2004
<option value="2005">2005
<option value="2006">2006
<option value="2007">2007
<option value="2008">2008
<option value="2009">2009
<option value="2010">2010
</select>
</td></tr>
<!--
<tr>
<td><? print TEXT_ADDITIONAL_COMMENTS ?></td>
<td><textarea name="additional_comments" cols="35" rows="6"></textarea></td>
</tr>
<tr><td colspan=2>
<table width="100%" cellpadding="6">
<tr align=center><td colspan="3"><? print TEXT_HOW_WOULD_YOU ?> </td></tr>
<tr align=center><td><? print TEXT_EMAIL ?></td><td><? print TEXT_TELEPHONE ?></td><td><? print TEXT_FAX ?>/td></tr>
<tr align=center>
<td><input type=radio name="confirm_type" value="email" CHECKED></td>
<td><input type=radio name="confirm_type" value="telephone"></td>
<td><input type=radio name="confirm_type" value="fax"></td>
</tr>
</table>
</td></tr>
-->
</table>
<input type=hidden name="act" value="add">
<input type=hidden name="singles" value="<?echo $singles;?>">
<input type=hidden name="twins" value="<?echo $twins;?>">
<input type=hidden name="doubles" value="<?echo $doubles;?>">
<input type=hidden name="triples" value="<?echo $triples;?>">
<input type=hidden name="executives" value="<?echo $executives;?>">
<input type=hidden name="RType6" value="<?echo $RType6;?>">
<input type=hidden name="RType7" value="<?echo $RType7;?>">
<input type=hidden name="RType8" value="<?echo $RType8;?>">
<input type=hidden name="RType9" value="<?echo $RType9;?>">
<input type=hidden name="RType10" value="<?echo $RType10;?>">
<input type=hidden name="exec_guest_number" value="<?echo $exec_guest_number;?>">
<input type=hidden name="start_date" value="<?echo $start_date;?>">
<input type=hidden name="end_date" value="<?echo $end_date;?>">
<input type=hidden name="title" value="<?echo $title;?>">
<input type=hidden name="first_name" value="<?echo $first_name;?>">
<input type=hidden name="surname" value="<?echo $surname;?>">
<input type=hidden name="street_addr" value="<?echo $street_addr;?>">
<input type=hidden name="city" value="<?echo $city;?>">
<input type=hidden name="province" value="<?echo $province;?>">
<input type=hidden name="zip" value="<?echo $zip;?>">
<input type=hidden name="country" value="<?echo $country;?>">
<input type=hidden name="telephone" value="<?echo $telephone;?>">
<input type=hidden name="fax" value="<?echo $fax;?>">
<input type=hidden name="email" value="<?echo $email;?>">
<input type=hidden name="special_requests" value="<?echo $special_requests;?>">
<input type=hidden name="spec_id" value="<?echo $spec_id;?>">
<input type=hidden name="total_cost" value="<?echo $total_cost;?>">
<input type=hidden name='number_of_child' value="<? echo $number_of_child;?>">
<input type=submit value="<? print TEXT_CONTINUE ?>">
</form>
</td></tr>
</td><tr></table>
<? include "themes/footer.php"; ?>