
<div id="box_login">
	<h1>
		Płatności - TEST
	</h1><br /><br />
	<div>
		<div>
			<h2>Formularz płatności</h2>
                            <form action="https://www.platnosci.pl/paygw/<?=$platnosci_pl_form_data['kodowanie']?>/<?=$platnosci_pl_form_data['procedura']?>" method="POST" name="payform">                             
			<table>    
      			<tr>
        			<td width="200">Firma</td>
        			<td><?=$platnosci_pl_form_data['first_name']?></td>
      			</tr>
      			<tr>
        			<td>Osoba kontaktowa</td>
        			<td><?=$platnosci_pl_form_data['last_name']?></td>
      			</tr>    
      			<tr>
        			<td>Email</td>
        			<td id="normalnyemail"></td>
      			</tr>    
      			<tr>
        			<td>Opis transakcji</td>
        			<td><?=$platnosci_pl_form_data['desc']?></td>
      			</tr>    
      			<tr>
        			<td>Kwota opłaty</td>
        			<td><?=($platnosci_pl_form_data['amount']/100)?> zł (brutto)</td>
      						</tr>      
      						  
      						<tr>
        						<td>&nbsp;</td>
        						<td>
                                    <input type="hidden" name="first_name" value="<?=$platnosci_pl_form_data['first_name']?>">
                                        <input type="hidden" name="last_name" value="<?=$platnosci_pl_form_data['last_name']?>">
                                        <input type="hidden" name="email" value="<?=$platnosci_pl_form_data['email']?>">
                                        <input type="hidden" name="pos_id" value="<?=$platnosci_pl_form_data['pos_id']?>">
                                        <input type="hidden" name="pos_auth_key" value="<?=$platnosci_pl_form_data['pos_auth_key']?>">
                                        <input type="hidden" name="session_id" value="<?=$platnosci_pl_form_data['session_id']?>">
                                        <input type="hidden" name="amount" value="<?=$platnosci_pl_form_data['amount']?>">
                                        <input type="hidden" name="desc" value="<?=$platnosci_pl_form_data['desc']?>">
                                        <input type="hidden" name="desc2" value="<?=$platnosci_pl_form_data['desc2']?>">
                                        <input type="hidden" name="client_ip" value="<?=$platnosci_pl_form_data['client_ip']?>">
                                        <input type="hidden" name="ts" value="<?=$platnosci_pl_form_data['ts']?>">
                                        <input type="hidden" name="sig" value="<?=$platnosci_pl_form_data['sig']?>">
                                        <input type="hidden" name="js" value="0">
                                                                    
                                        <input type="hidden" name="pay_type" value="<?=$platnosci_pl_form_data['pay_type']?>">
                                        
                                        
                                    </td>
      			</tr>
      			<tr>
        			<td>&nbsp;</td>
        			<td><input type="submit" value="Zapłać poprzez Platnosci.pl">
                                        
                                        <script language="JavaScript" type="text/javascript">
                                        <!--
                                        document.forms['payform'].js.value=1;
                                        document.getElementById('normalnyemail').innerHTML = "<?=$platnosci_pl_form_data['email']?>";
                                        -->
                                        </script></td>
      							</tr>    
      							<tr>
        							<td>&nbsp;</td>
        							<td>&nbsp;</td>
      							</tr>                                 
  							</table>
                            </form>                         	                            
						</div>                        
					</div>
					<span>						
					</span>
				</div>