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Credit Card Payment Form PHP

 

<!DOCTYPE html>

<html>
	<head>
		<script type="text/javascript" src="https://sandbox.forte.net/api/js/v1"></script>
		
		<script type="text/javascript">
			function onTokenCreated(response)
			{
				//do real transaction here by using the onetime_token
				alert("The onetime_token for this payment method is: " + "\n\n" + response.onetime_token);
			}
			function onTokenFailed(response)
			{
				//handle error here
				alert("Getting onetime_token failed for this payment method -\n\n" + "\t" + "response code: " + response.response_code + "\n" + " response description: " + response.response_description);
			}
		</script>
	</head>
	
	<body>
		Credit Card Number:<input type="text" forte-data="card_number" />
		
		Expiration Month:<select forte-data="expire_month">
		<option value="1">Jan - 1</option>
		<option value="2">Feb - 2</option>
		<option value="3">Mar - 3</option>
		<option value="4" selected>Apr - 4</option>
		<option value="5">May - 5</option>
		<option value="6">Jun - 6</option>
		<option value="7">Jul - 7</option>
		<option value="8">Aug - 8</option>
		<option value="9">Sep - 9</option>
		<option value="10">Oct - 10</option>
		<option value="11">Nov - 11</option>
		<option value="12">Dec - 12</option>
		</select>
		
		Exp Year:<select forte-data="expire_year">
		<option value="2014">2014</option>
		<option value="2015">2015</option>
		<option value="2016">2016</option>
		<option value="2017">2017</option>
		<option value="2018">2018</option>
		<option value="2019">2019</option>
		<option value="2020">2020</option>
		<option value="2021">2021</option>
		<option value="2022">2022</option>
		<option value="2023">2023</option>
		<option value="2024">2024</option>
		<option value="2025">2025</option>
		<option value="2026">2026</option>
		<option value="2027" selected>2027</option>
		</select>
				
		CVV:<input type="text" forte-data="cvv" />		
		
		<button type="submit" forte-api-login-id="xxxxxxxxxx" forte-callback-success="onTokenCreated" forte-callback-error="onTokenFailed">Submit</button>
	</body>
</html>

 


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