<%@include file="../common/IncludeTop.jsp"%>

Payment Details
Card Type:
Card Number:	* Use a fake number!
Expiry Date (MM/YYYY):
Billing Address
First name:
Last name:
Address 1:
Address 2:
City:
State:
Zip:
Country:
Ship to different address...

<%@include file="../common/IncludeBottom.jsp"%>