<%= include('header', 'Make a payment') %>
<%= if ($balance > 0) { $OUT .= < EOF } %> <%= include('discount_term') %> <%= include('check') %> <%= $OUT = ''; if ($ach_read_only) { if ($payby eq 'CHEK') { $OUT .= ''; } } else { my $save_ck = $save_unchecked ? '' : 'CHECKED'; my $auto_ck = $payby eq 'CHEK' ? ' CHECKED' : ''; if ( $payby eq 'CHEK' && ! $save_unchecked ) { $OUT .=< EOF } else { $OUT .=< EOF } } %>
Amount Due
$money_char$balance
Payment amount
<%= $money_char %>
Remember this information, and charge future payments to this account automatically
Remember this information
Charge future payments to this account automatically

<%= include('footer') %>