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<div class="modal fade matdialog" id="stripe_modal" role="dialog" data-keyboard="false" style="overflow-y: auto;"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="feather feather-x"><line x1="18" y1="6" x2="6" y2="18"></line><line x1="6" y1="6" x2="18" y2="18"></line></svg></span></button> <h4 class="modal-title">{{LANG credit_card}}</h4> </div> <form class="form form-horizontal" method="post" id="stripe_form" action="#"> <div class="modal-body twocheckout_modal"> <div id="stripe_alert"></div> <div class="clear"></div> <div class="sun_input col-md-6"> <input class="form-control shop_input" type="text" placeholder="{{LANG Name}}" value="{{ME name}}" id="stripe_name"> </div> <div class="sun_input col-md-6"> <input class="form-control shop_input" type="email" placeholder="{{LANG Email}}" value="{{ME email}}" id="stripe_email"> </div> <div class="clear"></div> <hr> <div class="row two_check_card"> <svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24"><path fill="currentColor" d="M20,8H4V6H20M20,18H4V12H20M20,4H4C2.89,4 2,4.89 2,6V18A2,2 0 0,0 4,20H20A2,2 0 0,0 22,18V6C22,4.89 21.1,4 20,4Z" /></svg> <div class="sun_input col-xs-12"> <input id="stripe_number" class="form-control shop_input" type="text" placeholder="{{LANG card_number}}"> </div> <div class="sun_input col-xs-4"> <select id="stripe_month" type="text" class="form-control shop_input" autocomplete="off" placeholder="{{LANG Month}} (01)"> <option value="01">01</option> <option value="02">02</option> <option value="03">03</option> <option value="04">04</option> <option value="05">05</option> <option value="06">06</option> <option value="07">07</option> <option value="08">08</option> <option value="09">09</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> </select> </div> <div class="sun_input col-xs-4 no-padding-both"> <select id="stripe_year" type="text" class="form-control shop_input" autocomplete="off" placeholder="{{LANG Year}} (2019)"> <?php for ($i=date('Y'); $i <= date('Y')+15; $i++) { ?> <option value="<?php echo($i) ?>"><?php echo($i) ?></option> <?php } ?> </select> </div> <div class="sun_input col-xs-4"> <input id="stripe_cvc" type="text" class="form-control shop_input" autocomplete="off" placeholder="CVC" maxlength="3" oninput="this.value = this.value.replace(/[^0-9.]/g, '').replace(/(\..*)\./g, '$1');"> </div> </div> <div class="clear"></div> </div> <div class="clear"></div> <div class="modal-footer"> <div class="ball-pulse"><div></div><div></div><div></div></div> <button type="button" class="btn btn-main" onclick="SH_StripeCardRequest()" id="stripe_btn">{{LANG pay}}</button> </div> </form> </div> </div> </div>