{% extends 'base.html.twig' %} {% block title %}{{ merchant.name }} Payment Page{% endblock %} {% block stylesheets %} {% if pageConfig.tracking_code|default %}{{ pageConfig.tracking_code|raw }}{% endif %} {% if pageConfig.custom_css_file|default(false) %} {% endif %} {% endblock %} {% block body %}

{% if pageConfig.logo|default(false) %}{% else %}{{ app.user.name|default }}{% endif %}

{{ 'Card'|trans }}

{{ form_start(form) }} {{ form_errors(form) }}

{{ 'Name_on_Card'|trans }}

{{ form_widget(form.cardholderName,{attr: {class:'pay_name'}}) }} {{ form_errors(form.cardholderName) | striptags | trans }}

{{ 'Card_number'|trans }}

{{ form_widget(form.cardNumber,{attr: {class:'pay_pan'}}) }} {{ form_errors(form.cardNumber) | striptags | trans }}

{{ 'Expiration'|trans }}

{{ form_widget(form.cardExpirationMonth, {'attr': {'class': 'text_box'}}) }}
{{ form_widget(form.cardExpirationYear, {'attr': {'class': 'text_box'}}) }}

{{ form_errors(form.cardExpirationMonth)| striptags | trans }} {{ form_errors(form.cardExpirationYear) | striptags | trans }}

{{ 'CVV'|trans }}

{{ form_widget(form.cardCvv2,{attr: {class:'pay_cvv'}}) }} {{ form_errors(form.cardCvv2) | striptags | trans }}

{{ form_widget(form._token) }} {{ form_end(form) }}

{% endblock %}