--- /dev/null
+<HTML>
+ <HEAD>
+ <TITLE>Payment report criteria</TITLE>
+ </HEAD>
+ <BODY>
+ <CENTER>
+ <H1>Payment report criteria</H1>
+ </CENTER>
+ <HR>
+ <FORM ACTION="cust_pay.cgi" METHOD="post">
+ <INPUT TYPE="hidden" NAME="magic" VALUE="_date">
+ Return <SELECT NAME="payby">
+ <OPTION VALUE="">all</OPTION>
+ <OPTION VALUE="CARD">credit card</OPTION>
+ <OPTION VALUE="CHEK">electronic check (ACH)</OPTION>
+ <OPTION VALUE="BILL">check/cash</OPTION>
+ </SELECT> payments for period<BR>
+ from <INPUT TYPE="text" NAME="beginning"> <i>m/d/y</i>
+ to <INPUT TYPE="text" NAME="ending"> <i>m/d/y</i>
+ <P><INPUT TYPE="submit" VALUE="Get Report">
+ </FORM>
+ <HR>
+ </BODY>
+</HTML>