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PaymentGateway.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="stylesheet" href="Payment.css">
<title>Document</title>
</head>
<body>
<div class="row">
<div class="col-75">
<div class="container">
<form action="/action_page.php">
<div class="row">
<div class="col-50">
<h3>Billing Address</h3>
<label for="fname"><i class="fa fa-user"></i> Full Name</label>
<input type="text" id="fname" name="firstname" placeholder="Ananya Shandilya">
<label for="email"><i class="fa fa-envelope"></i> Email</label>
<input type="text" id="email" name="email" placeholder="ananya@gmail.com">
<label for="adr"><i class="fa fa-address-card-o"></i> Address</label>
<input type="text" id="adr" name="address" placeholder="#343 Sec8">
<label for="city"><i class="fa fa-institution"></i> City</label>
<input type="text" id="city" name="city" placeholder="Karnal">
<div class="row">
<div class="col-50">
<label for="state">State</label>
<input type="text" id="state" name="state" placeholder="Haryana">
</div>
<div class="col-50">
<label for="zip">Zip</label>
<input type="text" id="zip" name="zip" placeholder="132001">
</div>
</div>
</div>
<div class="col-50">
<h3>Payment</h3>
<label for="fname">Accepted Cards</label>
<div class="icon-container">
<i class="fa fa-cc-visa" style="color:navy;"></i>
<i class="fa fa-cc-amex" style="color:blue;"></i>
<i class="fa fa-cc-mastercard" style="color:red;"></i>
<i class="fa fa-cc-discover" style="color:orange;"></i>
</div>
<label for="cname">Name on Card</label>
<input type="text" id="cname" name="cardname" placeholder="Ananya Shandilya">
<label for="ccnum">Credit card number</label>
<input type="text" id="ccnum" name="cardnumber" placeholder="1111-2222-3333-4444">
<label for="expmonth">Exp Month</label>
<input type="text" id="expmonth" name="expmonth" placeholder="September">
<div class="row">
<div class="col-50">
<label for="expyear">Exp Year</label>
<input type="text" id="expyear" name="expyear" placeholder="2018">
</div>
<div class="col-50">
<label for="cvv">CVV</label>
<input type="text" id="cvv" name="cvv" placeholder="352">
</div>
</div>
</div>
</div>
<input type="submit" value="Continue to checkout" class="btn">
</form>
</div>
</div>
</body>
</html>