	<p class="ErrorMessage" style="display: %%GLOBAL_HideCreditCardError%%">
		<strong>%%LNG_CreditCardProcessingError%%</strong><br />
		%%GLOBAL_CreditCardErrorMessage%%
	</p>

	<p class="InfoMessage" style="display: %%GLOBAL_HideCreditCardError%%">
		<a href="checkout.php?action=choose_billing_address">Click Here to Change Billing Details if Required</a>
	</p>

	<form action="%%GLOBAL_ShopPathSSL%%/checkout.php?action=process_payment" method="post" onsubmit="return check_creditcard_payment_form()">

		<div class="FormContainer VerticalFormContainer">
			<dl>
				<dt>%%LNG_CreditCardCardType%%:</dt>
				<dd>
					<select name="creditcard_cctype" id="creditcard_cctype" style="width:175px" onchange="updateCreditCardType()">
						<option value="">%%LNG_CreditCardPleaseChoose%%</option>
						%%GLOBAL_CCTypes%%
					</select>
				</dd>

				<dt>%%LNG_CreditCardCardHoldersName%%:</dt>
				<dd><input type="text" class="Textbox" name="creditcard_name" id="creditcard_name" value="%%GLOBAL_CreditCardName%%" size="30" /></dd>

				<dt>%%LNG_CreditCardCreditCardNo%%:</dt>
				<dd>
					<input type="text" class="Textbox" name="creditcard_ccno" id="creditcard_ccno" value="%%GLOBAL_CreditCardNum%%" size="30" />
					<br />
					<small>%%LNG_CreditCardCreditCardNoHelp%%</small>
				</dd>

				<dt class="CreditCardIssueNo">%%LNG_CreditCardCreditCardIssueNo%%:</dt>
				<dd class="CreditCardIssueNo">
					<input type="text" class="Textbox" name="creditcard_issueno" id="creditcard_issueno" value="%%GLOBAL_CreditCardIssueNo%%" size="4" />
					<br />
					<small>%%LNG_CreditCardCreditCardIssueNoHelp%%</small>
				</dd>

				<dt class="CreditCardIssueDate">%%LNG_CreditCardIssueDate%%:</dt>
				<dd class="CreditCardIssueDate">
					<select name="creditcard_issuedatem" id="creditcard_issuedatem">
						<option value=""></option>
						%%GLOBAL_CreditCardIssueDateMonths%%
					</select>
					<select name="creditcard_issuedatey" id="creditcard_issuedatey">
						<option value=""></option>
						%%GLOBAL_CreditCardIssueDateYears%%
					</select>
					<br />
					<small>%%LNG_CreditCardIssueDateHelp%%</small>
				</dd>

				<dt>%%LNG_CreditCardExpirationDate%%:</dt>
				<dd>
					<select name="creditcard_ccexpm" id="creditcard_ccexpm">
						<option value=""></option>
						%%GLOBAL_CreditCardMonths%%
					</select>
					<select name="creditcard_ccexpy" id="creditcard_ccexpy">
						<option value=""></option>
						%%GLOBAL_CreditCardYears%%
					</select>
				</dd>

				<dt class="CVV2Input" style="display: %%GLOBAL_CreditCardHideCardCode%%">%%LNG_CreditCardCardCode%%: (<a href="#" id="CVV2Help">%%LNG_WhatsThis%%</a>)</dt>
				<dd class="CVV2Input" id="CardCodeInput" style="display: %%GLOBAL_CreditCardHideCardCode%%">
					<input type="text" class="Textbox" name="creditcard_cccvd" id="creditcard_cccvd" value="%%GLOBAL_CreditCardCardCode%%" size="4" />
				</dd>

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