CINXE.COM
${eldata.title}
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3c.org/TR/xhtml1/DTD/xhtml1-strict.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <title>${eldata.title}</title> <meta http-equiv="Content-Type" content="text/html; charset=UTF-8" /> <meta http-equiv="pragma" content="no-cache" /> <meta http-equiv="expires" content="Tue, 01 Jan 1980 1:00:00 GMT" /> <meta http-equiv="Cache-Control" content="no-cache,no-store,must-revalidate" /> <link rel="stylesheet" href="${eldata.cssloc}" type="text/css" /> </head> <body style="background-color:${eldata.background}"> <form name="ccForm" id="ccForm" method="post" action="${eldata.pay}" onsubmit="return validateForm(ccForm, ${eldata.enableCaptcha})"> <div> <input name="currState" id="currState" value="${eldata.currState}" type="hidden" /> <input type="hidden" name="dest" id="dest" value="submit" /> </div> <div id="head"> <img src="${eldata.logo}" alt="${eldata.logotext}"></img> </div> <div id="main"> <div id="title"> <span class="billname">${eldata.billname}</span> </div> <div id="table"> <div class="row"> <div class="label"><b>${eldata.text_ref}</b></div> <div class="value"> <input name="_SBILL_IN_bill_id" value="" size="20" maxlength="20" type="text" /> </div> </div> <div class="space"></div> <div class="row"> <div class="label"><b>BSB Number</b></div> <div class="value" id="secure_logo_pos_ref"> <input name="_SBILL_IN_bsb_no1" value="" size="3" maxlength="3" type="text" autocomplete="off" /> - <input name="_SBILL_IN_bsb_no2" value="" size="3" maxlength="3" type="text" autocomplete="off" /> <div id="secure_logo_hidden_pos" > </div> </div> </div> <div class="space"></div> <div class="row"> <div class="label"><b>Account Number</b></div> <div class="value"> <input name="_SBILL_IN_account_no" value="" size="9" maxlength="9" type="text" autocomplete="off" /> </div> </div> <div class="space"></div> <div class="row"> <span class="value"> <b>Note:</b> Before making a payment from your Cheque or Savings account ensure you have completed a customer initiated <a href="https://transact.nab.com.au/dda/index.jsp?mid=${eldata.merchantId.substring(0, 5)}">Direct Debit Authority</a>. </span> </div> <div class="space"></div> <div class="row"> <div class="label"><b>Amount To Pay</b></div> <div class="value"> <b>$</b> <input name="_SBILL_IN_dollar_amount" value="" size="6" maxlength="10" type="text" /> . <input name="_SBILL_IN_cents_amount" value="" size="2" maxlength="2" type="text" /> </div> </div> <div class="space"></div> <div class="space"></div> <div class="space"></div> </div> </div> </form> <div class="secure_bottom_left"> <a href="http://www.nab.com.au/nabtransact" target="_blank"> <img class="imglink" src="${eldata.resourceroot}content?type=image&image=securebill/nab/images/nabbig.gif&${eldata.redirect_suffix}"/> </a> </div> <script type="text/javascript" src="${eldata.jsloc}">var spacekeeper = null;</script> </body> </html>