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58 59 </head> 60 61 62 <body> 63 64 <!-- ===============================================--> 65 <!-- Main Content--> 66 <!-- ===============================================--> 67 <main class="main" id="top"> 68 69 70 <!-- ============================================--> 71 <!-- <section> begin ============================--> 72 <section class="pt-5 pb-9"> 73 74 <div class="container-medium"> 75 <div class="row justify-content-between gy-5 gx-lg-0"> 76 <div class="col-lg-6"> 77 <h2 class="mb-0">Roy Safaris Online Payment</h2> 78 79 80 <h3 class="mt-7 mb-5">Payment Method</h3> 81 <form id="payment_form" action="checkout_confirmation.php" method="post"> 82 <input type="hidden" name="access_key" value="5492500982c43012b14771b1cf3ea8f7"> 83 <input type="hidden" name="profile_id" value="3BB1E65C-9DE3-4276-8B47-F057BCDB3727"> 84 <input type="hidden" name="transaction_uuid" value="6ac975edcc5a1"> 85 <input type="hidden" name="signed_field_names" value="access_key,profile_id,transaction_uuid,signed_field_names,unsigned_field_names,signed_date_time,locale,transaction_type,reference_number,amount,currency"> 86 <input type="hidden" name="unsigned_field_names"> 87 <input type="hidden" name="signed_date_time" value="2026-10-09T23:17:01Z"> 88 <input type="hidden" name="locale" value="en"> 89 <input type="hidden" name="transaction_type" value="sale"> 90 <input type="hidden" name="currency" value="USD"> 91 <input type="hidden" name="reference_number" value="6ac975edcc5a6"> 92 93 <div class="row gx-xxl-6 mb-5"> 94 <div class="col-md-auto"> 95 <div class="form-check"> 96 <input class="form-check-input" id="creditCard" type="radio" name="paymentMethod" checked> 97 <label class="form-check-label fs-8 text-body text-nowrap d-flex gap-2" for="creditCard">Credit card<img class="h-100" src="../../../assets/img/logos/visa.png" alt=""><img class="h-100" src="../../../assets/img/logos/discover.png" alt=""><img class="h-100" src="../../../assets/img/logos/mastercard.png" alt=""><img class="h-100" src="../../../assets/img/logos/american_express.png" alt=""></label> 98 </div> 99 </div> 100 <div class="col-md-auto"> 101 102 </div> 103 <div class="col-md-auto"> 104 105 </div> 106 </div> 107 <div class="row gx-3 gy-4"> 108 <!--div class="col-md-6"> 109 <label class="fw-bold text-body-highlight mb-1" for="selectCard">Select card</label> 110 <select class="form-select text-body-emphasis" id="selectCard" name="selectCard"> 111 <option selected="selected">Select a card</option> 112 <option value="visa">Visa</option> 113 <option value="discover">Discover</option> 114 <option value="mastercard">Mastercard</option> 115 <option value="american-express">American Express</option> 116 </select> 117 </div--> 118 <div class="col-md-6"> 119 <label class="fw-bold text-body-highlight mb-1" for="inputName">Full name</label> 120 <input class="form-control" id="inputName" name="inputName" type="text" placeholder="Firstname Lastname" aria-label="Full name" required> 121 </div> 122 123 <div class="col-md-6"> 124 <label class="fw-bold text-body-highlight mb-1" for="inputEmail">Email address</label> 125 <input class="form-control" id="inputEmail" name="inputEmail" type="email" inputmode="email" placeholder="[email protected]" aria-label="Email address" required> 126 </div> 127 128 <div class="col-md-6"> 129 <label class="fw-bold text-body-highlight mb-1" for="amount">Amount USD</label> 130 <input class="form-control" id="amount" name="amount" type="number" inputmode="decimal" min=10 placeholder="Total amount in USD" aria-label="Amount USD" required> 131 </div> 132 133 <div class="form-check"> 134 <input class="form-check-input" id="recieveUpdate" type="checkbox" required> 135 <label class="form-check-label fw-normal fs-8 text-body" for="recieveUpdate">I have read and AGREE with terms and conditions below: <br><br> 136 <b>NOTICE ON USE OF CREDIT CARD(S):</b> Roy Safaris Ltd shall consider this transaction legitimate ONLY IF person paying by the said credit card is part of the booked service. <br><br> 137 On completion of this transaction, you are required to send us a copy of your passport and it shall be verified against the credit/debit card used when you arrive in Tanzania. <br><br> 138 <b>THANK YOU for choosing ROY SAFARIS</b> 139 </label> 140 <!--a class="text-nowrap" href="#!"> Terms apply</a--> 141 </div> 142 143 </div> 144 </div> 145 <div class="col-lg-5 col-xl-4"> 146 <div class="card"> 147 <div class="card-body"><img class="w-100 object-fit-cover rounded-2" src="../../../assets/img/logos/roysafaris-small.png" alt="Roy Safaris" /> 148 149 150 </div> 151 </div> 152 <button class="btn btn-primary w-100 mt-3" type="submit" id="submit" name="submit">Pay now</button> 153 </div> 154 </div> 155 </div> 156 <!-- end of .container--> 157 158 </section> 159 <!-- <section> close ============================--> 160 <!-- ============================================--> 161 162 163 164 165 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