donatereceipt.html

<div class="minHeight">
<div class="fullPage">
<div class="pageContent">
<div class="pageContentInner popupContentInner">
<!--Beginning main page content-->
<h1 class="popupFormHeading">Payment Receipt</h1>
<div id="accessibleForm" class = "popupForm form1Part">
<!--{formbegin}-->
<div class="errormessage">
<!--{error_msg}-->
</div>

<p>
<!--{date}-->
</p>
<p>
<!--{approved_msg}-->
</p>
<p>
Thank you for your donation of
<!--{amount}-->
</p>
<p>
Payment made by:
<!--{name}-->
<br >
<!--{address}-->
</p>
<p>
<!--{phone}-->
</p>
<p>
<!--{comments}-->
</p>

<p>
Credit card:
<!--{ccnum}-->
&nbsp;
<!--{ccexpmonth}-->
/
<!--{ccexpyear}-->
</p>
<p>
Total charged:
<!--{total}-->
</p>
<p>
Please print this page for your records.</p>
<div class="formButtonArea">
<!--{print}-->
<!--{closewindow}-->
</div>
<!--{formend}-->
</div><!-- accessibleForm -->
<div class="clear"></div>
</div><!-- popupContentInner -->
</div><!-- pageContent -->
</div><!-- fullPage -->
</div>