WRAPPER_FILE=/wrapper1.html
PAGE_TITLE=Payment on Account
END=end
<!-- #######################  BEGIN  payments.html  ###################### -->
  <form method=post action="/00000000000000000000000000000000?payment1=1">
    <p align="center">
      <font size="-1" face="Verdana, Arial, Helvetica, sans-serif">
      <b>Payment For Allan Hampton Services</b></font></p>
    <table width="100%" border="0" cellspacing="0" cellpadding="0">
      <tr>
        <td>
          <font size="-1" face="Verdana, Arial, Helvetica, sans-serif">
          Welcome to the Allan Hampton Payments page.
          <br><br>
          This page is used for clients who wish to make special payments
          to Allan Hampton.&nbsp; Please fill out the information below.&nbsp;
          Use the comment area to describe the special payment.&nbsp;
          Please include any discount code in the comment area.
          </font>
        </td>
      </tr>
    </table>
    <br><br>
    <table width="100%" border="1" align="center"
        cellpadding="5" cellspacing="0">
      <tr>
        <td width="40%" valign="middle">
          <font size="-1" face="Verdana, Arial, Helvetica, sans-serif">
          <b>Authorization Amount:</b></font></td>
        <td width="60%">
          <input name=CCA_auth_amount size="8" maxlength=8>
          <font size="-1" face="Verdana, Arial, Helvetica, sans-serif">
          ( Example:  10.00 )</td>
      </tr>
      <tr>
        <td width="40%" valign="top">
          <font size="-1" face="Verdana, Arial, Helvetica, sans-serif">
          <b>Comments:</b></font></td>
        <td width="60%">
          <textarea name="O_comments" cols="40" rows="5"></textarea></td>
      </tr>
    </table>
    <br>
    <table width="100%" border="0" align="center"
        cellpadding="5" cellspacing="0">
      <tr>
        <td width="100%" align="center" valign="middle">
          <input type="submit" name="payment1" value="Continue "></td>
      </tr>
    </table>
  </form>
<!-- ########################  END  payments.html  ####################### -->