mirror of
https://github.com/openfoodfoundation/openfoodnetwork
synced 2026-03-06 02:51:34 +00:00
26 lines
929 B
Plaintext
26 lines
929 B
Plaintext
.row
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.small-6.columns
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%label
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First Name
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%input{type: :text, disabled: true, "ng-value" => "order.bill_address.firstname"}
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.small-6.columns
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%label
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Last Name
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%input{type: :text, disabled: true, "ng-value" => "order.bill_address.lastname"}
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.small-6.columns
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= validated_input "Card Number", "secrets.card_number", required: true, maxlength: 19, autocomplete: "off"
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.small-6.columns
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= validated_input "Security Code", "secrets.card_verification_value", required: true
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.row
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.small-12.columns
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%label{for: "secrets.card_month"} Expiry Date
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.row
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.small-6.columns
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%select{"ng-model" => "secrets.card_month", "ng-options" => "currMonth.value as currMonth.key for currMonth in months", name: "secrets.card_month", required: true}
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.small-6.columns
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%select{"ng-model" => "secrets.card_year", "ng-options" => "year for year in years", name: "secrets.card_year", required: true}
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