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paypharma.php
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<?php
// Include config file
require_once "connection.php";
?>
<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8">
<title align="center">Login</title>
<style>
div {
background-color: #fff;
background-color: rgba(255,255,255,0.5);
margin-top: 70px;
margin-bottom: 70px;
margin-right: 70px;
margin-left: 70px;
}
body{
background-image: url("/cash.jpeg");
}
textarea {
width: 402px;
}
</style>
</head>
<body>
<div class="wrapper" align="center">
<h1>
<h2>PAYMENT</h2>
<p>Please fill in the payment details.</p>
<form action="/finalpay.php" method="post">
<div >
NAME ON CARD : <input type=text name="cardname" value="" required width:20px >
</div>
<div>
CARD NUMBER : <input type=text name="cardnumber" value="" required>
</div>
<div>
EXPIRY DATE :<input type="text" name="date" value="" required>
</div>
<div>
CVV : <input type="password" name="cvv" value="" required>
</div>
<!-- <div>
DOB : <input type="text" name="dob" value="" required>
</div> -->
<div>
<input type=submit >
</div>
</form>
</div>
</body>
</html>