[% INCLUDE 'waste/header.html' %]
Credit Card Details
-
Amount
-
£[% amount %]
-
Billing Address
-
[% address1 %]
[% address2 %][% '
' IF address2 %]
[% address3 %][% '
' IF address3 %]
[% postcode %]
[% town %]
[% BLOCK form_extra %][% END %]
[% INCLUDE 'waste/cc_form.html' button_text="Continue to Card Payment" %]
[% INCLUDE footer.html %]