gistfile1.html

<form novalidate="" action="" method="post" name="payment">
							<div id="payflowpro_gateway_gateway-personal-info">

								<div class="row-fluid">
									<span class="personalInfo">
									<div class="row-fluid">
	<div class="col-md-12">
		<h3 class="cc_header">Montant du don: <span id="selected-amount">€3.00</span><img style="vertical-align:baseline;margin-left:8px;" src="/extensions/DonationInterface/gateway_forms/includes/padlock.gif"></h3>
	</div>
</div>
<div class="row-fluid">
	<div class="col-md-6">
		<label>Prénom</label>
		<input type="text" id="fname" value="Eileen" class="form-control">
	</div>

	<div class="col-md-6">
		<label>Nom de famille</label>
		<input type="text" id="lname" value="McNaughton" class="form-control">
	</div>
</div>
<div class="row-fluid">
	<div class="col-md-12"><span class="creditcard-error-msg"></span></div>
</div>
<div class="row-fluid">
    <div class="col-md-12">
    	<label>Adresse de courriel</label>
		<input type="text" id="emailAdd" placeholder="[email protected]" title="Adresse de courriel" value="[email protected]" class="form-control">
	</div>
</div>

									<div class="row-fluid">
	<div class="col-md-12">
		<input type="hidden" id="wp_one_time_token" name="OTT" value="">
		<h3 class="ccAreaHeader">
			<div class="row-fluid">
				<span class="pull-left">
					<img src="/extensions/DonationInterface/gateway_forms/includes/card-mastercard.png" alt="MasterCard">
				    <img src="/extensions/DonationInterface/gateway_forms/includes/card-visa.png" alt="Visa">
				    <img src="/extensions/DonationInterface/gateway_forms/includes/card-discover.png" alt="Discover">
				    <img src="/extensions/DonationInterface/gateway_forms/includes/card-jcb.png" alt="JCB">
				</span>
			</div>
		</h3>
	</div>
</div>

<div class="row-fluid">
	<div class="col-md-6">
		<label>Numéro de carte</label>
		<input type="text" placeholder="1111 1111 1111 1111" autocomplete="off" pattern="\d*" class="form-control visa identified" id="accountNumber">
	</div>

	<span id="smCC">
		<div class="col-md-3">
			<label>Date d’expiration</label>
			<input type="text" placeholder="05/2015" autocomplete="off" pattern="\d*" id="expiry" class="form-control">
		</div>
		<div class="col-md-3">
			<label>CVV</label>
			<input type="text" placeholder="123" autocomplete="off" pattern="\d*" id="cvc" class="form-control">
	   </div>
	</span>
</div>

<div class="row-fluid">
	<div class="col-md-12">
		<div class="ccError ccNumberError">• Veuillez entrer un numéro de carte bancaire ou de crédit valide pour l’un des types de cartes acceptées</div>
		<div class="ccError ccExpiryError">• Veuillez saisir la date d’expiration de la carte</div>
		<div class="ccError ccCVCError">• Veuillez saisir le code CVV, habituellement inscrit au dos de la carte</div>
	</div>
</div>

<div class="row-fluid">
	<div class="col-md-12">
		<input type="button" value="Continuer" id="paymentSubmitBtn" class="btn btn-info btn-large form-control">
	</div>
</div>

									</span>
								</div>
						
								<div style="height: 0;text-align: center;" class="row-fluid gainlayout" id="payment"></div>
						
								<div id="payflowpro_gateway_gateway-donate-submessage" class="row-fluid mw-donate-submessage">
										<img style="vertical-align:baseline;margin-right:4px;" src="/extensions/DonationInterface/gateway_forms/includes/padlock.gif">
										Votre carte bancaire ou de crédit/débit sera prise en charge de manière sécurisée.
								</div>
									
								
							</div>



							<!-- This should be included in the personal_information templates -->
							<input type="hidden" id="utm_source" value="donate.default~default~default~default~control.cc" class="form-control">
							<input type="hidden" id="utm_medium" value="sidebar" class="form-control">
							<input type="hidden" id="utm_campaign" value="C13_en.wikipedia.org" class="form-control">
							<input type="hidden" id="language" value="fr" class="form-control">
							<input type="hidden" id="referrer" value="https://donate.wikimedia.org/w/index.php?title=Special:FundraiserLandingPage&amp;country=US&amp;uselang=en&amp;utm_medium=sidebar&amp;utm_source=donate&amp;utm_campaign=C13_en.wikipedia.org" class="form-control">
							<input type="hidden" id="email-opt" value="1" class="form-control">
							<input type="hidden" id="token" value="4b0d1d23d5e108ec968e1ab9fa9f8218+\" class="form-control">
							<input type="hidden" id="order_id" value="9416495480" class="form-control">
							<input type="hidden" id="contribution_tracking_id" value="18677267" class="form-control">
							<input type="hidden" id="data_hash" value="" class="form-control">
							<input type="hidden" id="owa_session" value="" class="form-control">
							<input type="hidden" id="owa_ref" value="" class="form-control">
							<input type="hidden" id="gateway" value="worldpay" class="form-control">
							<input type="hidden" id="payment_method" value="cc" class="form-control">


						</form>