<p class="ErrorMessage" style="display:%%GLOBAL_HideAuthorizeNetError%%">
	<strong>%%GLOBAL_AuthorizeNetErrorMessage%%</strong>
</p>
<form action="%%GLOBAL_ShopPathSSL%%/checkout.php?action=process_payment" method="post" onsubmit="return check_authorizenet_payment_form()">
	<div class="FormContainer VerticalFormContainer">
		<dl>
			<dt>%%LNG_AuthorizeNetCardHoldersName%%:</dt>
			<dd><input type="text" name="AuthorizeNet_name" id="AuthorizeNet_name" value="%%GLOBAL_AuthorizeNetName%%" size="30" /></dd>

			<dt>%%LNG_AuthorizeNetCreditCardNo%%:</dt>
			<dd>
				<input type="text" name="AuthorizeNet_ccno" id="AuthorizeNet_ccno" value="%%GLOBAL_AuthorizeNetNum%%" size="30" />
				<br />
				<small>%%LNG_AuthorizeNetCreditCardNoHelp%%</small>
			</dd>

			<dt>%%LNG_AuthorizeNetExpirationDate%%:</dt>
			<dd>
				<select name="AuthorizeNet_ccexpm" id="AuthorizeNet_ccexpm">
					<option value=""></option>
					%%GLOBAL_AuthorizeNetMonths%%
				</select>
				<select name="AuthorizeNet_ccexpy" id="AuthorizeNet_ccexpy">
					<option value=""></option>
					%%GLOBAL_AuthorizeNetYears%%
				</select>
			</dd>

			<dt style="display: %%GLOBAL_AuthorizeNetHideCVV2%%">%%LNG_AuthorizeNetCreditCardCCV2%%: (<a href="#" id="CVV2Help">%%LNG_WhatsThis%%</a>)</dt>
			<dd id="CVV2Input" style="display: %%GLOBAL_AuthorizeNetHideCVV2%%">
				<input type="text" class="Textbox" name="AuthorizeNet_cccode" id="cc_cvv2" value="%%GLOBAL_AuthorizeNetCCV2%%" size="4" />
			</dd>

			<dd class="CheckoutPaymentTotal">
				<em class="ProductPrice">%%LNG_OrderTotal%%: %%GLOBAL_OrderAmount%%</em>
			</dd>
		</dl>
		<p class="Submit">
			<input type="submit" value="%%LNG_AuthorizeNetPayForOrder%%" />
		</p>
	</div>
</form>
%%Panel.AuthorizeNetPaymentJavaScript%%