<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset={$charset}" />
<title>{$seo['title']}</title>
<meta name="Keywords" content="{$seo['keywords']}">
<meta name="Description" content="{$seo['description']}">
<link href="templates/{$CFG[tplname]}/style/reset.css" type="text/css" rel="stylesheet" />
<link href="templates/{$CFG[tplname]}/style/style.css" type="text/css" rel="stylesheet" />
<link href="templates/{$CFG[tplname]}/style/user.css" type="text/css" rel="stylesheet" />
<link href="templates/{$CFG[tplname]}/style/useredit.css" type="text/css" rel="stylesheet" />
<script src="js/common.js"></script>
<script type="text/javascript" src="js/jquery.js"></script>
<script language="javascript">
<!--
function CheckForm() {
if ($F('amount') == "")
	{
	    alert("请输入支付金额！")
		Field.clear('amount')
		Field.focus('amount');
	    return false
	 }
if ($F('contactname') == "")
	{
	    alert("请输入联系人姓名！")
		Field.clear('contactname')
		Field.focus('contactname');
	    return false
	 }
if ($F('telephone') == "")
	{
	    alert("请输入联系电话！")
		Field.clear('telephone')
		Field.focus('telephone');
	    return false
	 }
if ($F('email') == "")
	{
	    alert("请输入E-mail！")
		Field.clear('email')
		Field.focus('email');
	    return false
	 }
    document.myform.submit.disabled = true;
}
//-->
</script>
</head>
<body class="home-page">
<div class="wrapper">
<!--{template header}-->
	<!-- 主体 -->
<form action="member.php?act=confirm" method="post" name=form>
	<div id="content" class="clearfix">
		<div class="col_main">
			<div class="edit_box">
			<div id="contentfloat">
        <div id="contentt">
<div class="bigtitle">在线支付</div>

<div class="smalltitle">填写支付信息</div>
<table border="0" cellpadding="1" cellspacing="1" class="table" width="100%">
    <tr>
        <td class="tditem">支付金额：</td>
        <td class="tdcontent">
            <span style="color:#666600;font-weight:bold;"><input name="amount" type="text" size="10" value="{$amount}"> 元</span></td>
    </tr>
	<tr>
        <td class="tditem">支付平台：</td>
        <td class="tdcontent">
            <span style="color:#666600;font-weight:bold;">
			<select name="paycenter">
			{loop $payonline_setting $paycenter $pay}
			<option value="{$pay[paycenter]}" {$selected[$paycenter]}>{$pay[name]}</option>
			{/loop}
			</select>
			</span>
		</td>
    </tr><tr>
        <td class="tditem">联系人：</td>
        <td class="tdcontent">
            <span style="color:#666600;font-weight:bold;"><input name="contactname" type="text" size="30"  value="{$contactname}"></span></td>
    </tr>
	<tr>
        <td class="tditem">邮箱：</td>
        <td class="tdcontent">
            <span style="color:#666600;font-weight:bold;"><input name="email" type="text" size="30" value="{$email}"></span></td>
    </tr>
	<tr>
        <td class="tditem">电话：</td>
        <td class="tdcontent">
            <span style="color:#666600;font-weight:bold;"><input name="telephone" type="text" size="30" value="{$telephone}"></span></td>
    </tr>
     
</table>
<div class="submit">
<input type="submit" name="submit" value=" 提交 " id="submit" /></div>
 </div>　
	</div>
			</div>
		</div>
		<div class="col_sub">
			<!-- 侧边栏菜单 开始 -->
			<div class="side_bar">
				<ul>
					<!--{template member_left}-->
				</ul>
			</div>
			<!-- 侧边栏菜单 结束 -->
		</div>
	</div>
	</form>
	<!-- 主体 结束 -->
	<!--{template footer}-->
</div>
</body>
</html>
