<p class="InfoMessage">
	%%LNG_PayflowProPaymentIntro%%
</p>
<p class="ErrorMessage" style="display:%%GLOBAL_HidePayflowProError%%">
	%%LNG_PayflowProProcessingError%%<br />
	<strong>%%GLOBAL_PayflowProErrorMessage%%</strong>
</p>
<form action="%%GLOBAL_ShopPathSSL%%/checkout.php?action=process_payment" method="post" onsubmit="return check_payflowpro_payment_form()">
	<div class="FormContainer HorizontalFormContainer">
		<dl>
			<dt><span class="Required">*</span> %%LNG_PayflowProCardHoldersName%%:</dt>
			<dd><input type="text" name="PayflowPro_name" id="PayflowPro_name" value="%%GLOBAL_PayflowProName%%" size="30" /></dd>

			<dt><span class="Required">*</span> %%LNG_PayflowProCreditCardNo%%:</dt>
			<dd>
				<input type="text" name="PayflowPro_ccno" id="PayflowPro_ccno" value="%%GLOBAL_PayflowProNum%%" size="30" />
				<br />
				<small>%%LNG_PayflowProCreditCardNoHelp%%</small>
			</dd>

			<dt style="display: %%GLOBAL_PayflowProHideCVV2%%"><span class="Required">*</span> %%LNG_PayflowProCreditCardCCV2%%:</dt>
			<dd id="CVV2Input" style="display: %%GLOBAL_PayflowProHideCVV2%%">
				<input type="text" class="Textbox" name="PayflowPro_cccode" id="PayflowPro_cccode" value="%%GLOBAL_PayflowProCCV2%%" size="4" />
				<br />
				<small>%%LNG_PayflowProCreditCardCVV2Help%%</small>
			</dd>

			<dt><span class="Required">*</span> %%LNG_PayflowProExpirationDate%%:</dt>
			<dd>
				<select name="PayflowPro_ccexpm" id="PayflowPro_ccexpm">
					<option value=""></option>
					%%GLOBAL_PayflowProMonths%%
				</select>
				<select name="PayflowPro_ccexpy" id="PayflowPro_ccexpy">
					<option value=""></option>
					%%GLOBAL_PayflowProYears%%
				</select>
			</dd>

			<dt><span class="Required">*</span> %%LNG_PayflowProBillingAddress%%:</dt>
			<dd><textarea rows="3" cols="35" name="PayflowPro_ccaddress" id="PayflowPro_ccaddress">%%GLOBAL_PayflowProBillingAddress%%</textarea></dd>

			<dt><span class="Required">*</span> %%LNG_PayflowProCity%%:</dt>
			<dd><input type="text" name="PayflowPro_cccity" id="PayflowPro_cccity" value="%%GLOBAL_PayflowProCity%%" size="20" /></dd>

			<dt><span class="Required">*</span> %%LNG_PayflowProState%%:</dt>
			<dd><input type="text" name="PayflowPro_ccstate" id="PayflowPro_ccstate" value="%%GLOBAL_PayflowProState%%" size="6" /></dd>

			<dt><span class="Required">*</span> %%LNG_PayflowProZip%%:</dt>
			<dd><input type="text" name="PayflowPro_zip" id="PayflowPro_zip" value="%%GLOBAL_PayflowProBillingZip%%" size="6" /></dd>

			<dt><span class="Required">*</span> %%LNG_PayflowProBillingCountry%%:</dt>
			<dd>
				<select  name="PayflowPro_country" id="PayflowPro_country">
					%%GLOBAL_PayflowProCountry%%
				</select>
			</dd>


			<dt>&nbsp;&nbsp; %%LNG_PayflowProTotalAmount%%:</dt>
			<dd>
				<em class="ProductPrice">%%GLOBAL_OrderAmount%%</em>
			</dd>
		</dl>
		<p class="Submit">
			<input type="submit" value="%%LNG_PayflowProPayForOrder%%" />
		</p>
	</div>
</form>
%%Panel.PayflowProPaymentJavaScript%%