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index.ejs
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107 lines (103 loc) · 4.99 KB
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<html>
<body>
<% if (errors.length) { %>
<h2><%= errors.length === 1 ? 'Error' : 'Errors' %> prohibited this connect configuration</h2>
<ul>
<% for(var i=0; i<errors.length; i++) {%>
<li><%= errors[i] %></li>
<% } %>
</ul>
<% } %>
<form name="form1" method="POST" action="/connect">
<div class="form-group">
<label for="amount">* Amount</label>
<input type="number" id="amount" name="amount" value="<%= amount %>" min="0" step="0.01">
</div>
<div class="form-group">
<label for="currency">* Currency</label>
<input type="text" id="currency" name="currency" value="<%= currency %>">
</div>
<div class="form-group">
<label for="communication">* Communication</label>
<input type="text" id="communication" name="communication" value="<%= communication %>">
</div>
<div class="form-group">
<label for="communication">Execution Date</label>
<input type="text" id="execution_date" name="execution_date" value="<%= execution_date %>">
</div>
<div class="form-group">
<label for="psu_type">* Psu Type</label>
<select name="psu_type">
<option value="all">All</option>
<option value="retail">Retail</option>
<option value="corporate">Corporate</option>
</select>
</div>
<div class="form-group">
<label for="Scheme">* Scheme</label>
<select name="scheme">
<option value="AUTO">Auto</option>
<option value="SEPA">SEPA</option>
<option value="INSTANT_SEPA">INST</option>
</select>
</div>
<div class="form-group">
<label for="country">Country</label>
<input type="text" id="country" name="country" value="<%= country %>">
</div>
<div class="form-group">
<label for="customer_ip">*Customer IP</label>
<input type="text" id="customer_ip" name="customer_ip" value="<%= customer_ip %>">
</div>
<div class="form-group">
<label for="customer_full_name">* Customer Full Name</label>
<input type="text" id="customer_full_name" name="customer_full_name" value="<%= customer_full_name %>">
</div>
<div class="form-group">
<label for="customer_email">* Customer Email</label>
<input type="email" id="customer_email" name="customer_email" value="<%= customer_email %>">
</div>
<div class="form-group">
<label for="customer_phone">Customer Phone</label>
<input type="email" id="customer_phone" name="customer_phone" value="<%= customer_phone %>">
</div>
<div class="form-group">
<label for="customer_address_street">Customer Address Street</label>
<input type="email" id="customer_address_street" name="customer_address_street" value="<%= customer_address_street %>">
</div>
<div class="form-group">
<label for="customer_address_number">Customer Address Number</label>
<input type="email" id="customer_address_number" name="customer_address_number" value="<%= customer_address_number %>">
</div>
<div class="form-group">
<label for="customer_address_complement">Customer Address Complement</label>
<input type="email" id="customer_address_complement" name="customer_address_complement" value="<%= customer_address_complement %>">
</div>
<div class="form-group">
<label for="customer_address_zip">Customer Address Zip</label>
<input type="email" id="customer_address_zip" name="customer_address_zip" value="<%= customer_address_zip %>">
</div>
<div class="form-group">
<label for="customer_address_city">Customer Address City</label>
<input type="email" id="customer_address_city" name="customer_address_city" value="<%= customer_address_city %>">
</div>
<div class="form-group">
<label for="customer_address_country">Customer Address Country</label>
<input type="email" id="customer_address_country" name="customer_address_country" value="<%= customer_address_country %>">
</div>
<div class="form-group">
<label for="expiry">Expiry</label>
<input type="number" id="expiry" name="expiry" value="<%= expiry %>" min="0" step="1000">
</div>
<div class="form-group">
<label for="scheduled_expiration_policy">Scheduled Expiration Policy</label>
<select id="scheduled_expiration_policy" name="scheduled_expiration_policy">
<option disabled selected value>No value</option>
<option value="immediate">immediate</option>
<option value="expire">expire</option>
</select>
</div>
<button type="submit">Pay by bank</button>
</form>
</body>
</html>