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pay_payment.html
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<!DOCTYPE html>
<html lang="en">
<head>
<!-- Global site tag (gtag.js) - Google Analytics -->
<script async src="https://www.googletagmanager.com/gtag/js?id=UA-7718160-1"></script>
<script>
window.dataLayer = window.dataLayer || [];
function gtag(){dataLayer.push(arguments);}
gtag('js', new Date());
gtag('config', 'UA-7718160-1');
</script>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
<meta name="description" content="">
<meta name="author" content="">
<title>Get Discount On Payment Integration</title>
<!-- Bootstrap core CSS -->
<link href="vendor/bootstrap/css/bootstrap.min.css" rel="stylesheet">
<link rel="stylesheet" href="vendor/font-awesome/css/font-awesome.min.css">
<!-- Custom styles for this template -->
<link href="css/modern-business.css" rel="stylesheet">
<link href='//fonts.googleapis.com/css?family=Raleway:400,300,700' rel='stylesheet' type='text/css'>
<style>
body {
padding-top: 5px;
}
</style>
</head>
<body>
<!-- Page Content -->
<div class="container">
<!-- Intro Content -->
<form action="pay.php" method="POST">
<div class="form-group">
<h5 class="form-text"><span class="text-primary">Pay Now!</span> <br>
<small>And be eligible for a 20% discount. That is <strong>N10,000</strong> saving if you want one of the payment options, and <strong class="text-danger">N20,000</strong> savings if you want both</small></h5>
</div>
<div class="form-check">
<input class="form-check-input calc" type="checkbox" value="Naira" id="naira_payment">
<label class="form-check-label small calc" for="naira_payment">
Naira Payment Integration (<strong>N40,000</strong> <s>N50,000</s>)
</label>
</div>
<div class="form-check">
<input class="form-check-input calc" type="checkbox" value="Dollar" id="dollar_payment">
<label class="form-check-label small calc" for="dollar_payment">
Dollar Payment Integration (<strong>N40,000</strong> <s>N50,000</s>)
</label>
</div>
<div>
<div class="cost_div">
<h2 class="text-danger">Total: <strong id="cost_total">N0.00</strong> </h2>
</div>
</div>
<hr class="bg-primary">
<div class="form-group">
<input name="firstname" placeholder="Firstname" onblur="this.placeholder = 'Firstname'" class="form-control form-control-sm" required="" type="text" required>
</div>
<div class="form-group">
<input name="lastname" placeholder="Lastname" onblur="this.placeholder = 'Lastname'" class="form-control form-control-sm" required="" type="text" required>
</div>
<div class="form-group">
<input name="email" placeholder="Email" onblur="this.placeholder = 'Email'" class="form-control form-control-sm" required="" type="email" required>
</div>
<div class="form-group">
<input name="mobile" placeholder="Telephone" onblur="this.placeholder = 'Telephone'" class="form-control form-control-sm" required="" type="text" required>
</div>
<div class="form-group">
<button class="btn btn-primary col-12" type="submit"> Pay Now <i class="fa fa-credit-card ml-1"></i></button>
</div>
<div class="col-12 small">
<input type="hidden" name="for" value="Payment Integration">
<input type="hidden" name="amount" id="amount" value="40000">
<input type="hidden" name="pg" value="pay_payment">
<a href="online-payment.html" target="_top">Get More Info</a> | <a href="index.html" target="_top">SEONigeria.com</a>
</div>
</form>
<!-- /.form -->
</div>
<!-- /.container -->
<!-- Bootstrap core JavaScript -->
<script src="vendor/jquery/jquery.min.js"></script>
<script src="vendor/bootstrap/js/bootstrap.bundle.min.js"></script>
<script src="js/pay_pricing.js"></script>
</body>
</html>