<!-- TITLE: Register Payment -->

<table width="100%" border="0" cellpadding="5">
  <tr> 
    <td colspan="3">

<form method=post action="index.php?page=payment_reg">

<input type=hidden name=token value="##TOKEN##">

<table width="100%" cellpadding=0>
  <tr>
  <td width=110><b>Order ID:</td>
  <td><input name=o_id size=10 value="##o_id##"></td>
  </tr>
  <tr>
  <td><b>Order Details:</td>
  <td><input name=o_det size=20 value="##o_det##"></td>
  </tr>
  <tr>
  <td><b>Amount:</td>
  <td><input name=o_amt size=10 value="##o_amt##">
  &nbsp;<font class=txt8>Numbers and decimals (.) ONLY!
  </td>
  </tr>
  <tr>
  <td><b>Tran. No :</td>
  <td><input name=o_txn_id size=10 value="##o_txn_id##">
  &nbsp;<font class=txt8>Any string, unique per order
  </td>
  </tr>
  <tr>
  <td></td>
  <td><input class="button" type=submit name=go value="Register"></td>
  </tr>
</table>


<hr size=1>
<font class=txt8 color=blue>Note: please avoid double submits for one order</font>

</form>

    </td>
  </tr>
</table>