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Text File  |  2010-08-20  |  4KB  |  99 lines
  1. ∩╗┐<%@ Page Title="" Language="VB" MasterPageFile="~/HealthCard.master" AutoEventWireup="false" CodeFile="debitOrder.aspx.vb" Inherits="debitOrder" %>
  2.  
  3. <asp:Content ID="Content1" ContentPlaceHolderID="cntPageTitle" Runat="Server">
  4.     <h1>
  5.         Debit Order Details</h1>
  6. </asp:Content>
  7. <asp:Content ID="Content2" ContentPlaceHolderID="cntBody" Runat="Server">
  8.     <form id="form1" runat="server">
  9.     <table cellpadding="2" cellspacing="1" border="0" width="100%">
  10.         <tr>
  11.             <td colspan="4" class="style5" height="20">
  12.                 <strong>Details</strong>
  13.             </td>
  14.         </tr>
  15.         <tr>
  16.             <td bgcolor="#EAEAEA">
  17.                 Bank Name
  18.             </td>
  19.             <td bgcolor="#EAEAEA">
  20.                 <span class="field">
  21.                     <asp:TextBox ID="txtBankName" runat="server" class="input1" ReadOnly="true"></asp:TextBox>
  22.                     </span>
  23.             </td>
  24.             <td bgcolor="#EAEAEA">
  25.                 Account Name
  26.             </td>
  27.             <td bgcolor="#EAEAEA">
  28.                 <span class="field">
  29.                     <asp:TextBox ID="txtAccName" runat="server" class="input1" ReadOnly="true"></asp:TextBox></span>
  30.             </td>
  31.         </tr>
  32.         <tr>
  33.             <td bgcolor="#EAEAEA">
  34.                 Account Number
  35.             </td>
  36.             <td bgcolor="#EAEAEA">
  37.                 <span class="field">
  38.                     <asp:TextBox ID="txtAccNumber" Text="xxxxxxxxxxxxxxxx" runat="server" class="input1"
  39.                         ReadOnly="true"></asp:TextBox></span>
  40.             </td>
  41.             <td bgcolor="#EAEAEA">
  42.                 Account Type
  43.             </td>
  44.             <td bgcolor="#EAEAEA">
  45.                 <span class="field">
  46.                     <asp:TextBox ID="txtAccType" runat="server" class="input1" ReadOnly="true"></asp:TextBox></span>
  47.             </td>
  48.         </tr>
  49.         <tr>
  50.             <td bgcolor="#EAEAEA">
  51.                 Enabled
  52.             </td>
  53.             <td colspan="3" bgcolor="#EAEAEA">
  54.                 <span class="field">
  55.                     <asp:CheckBox ID="chkEnabled" runat="server" Enabled="false" /></span>
  56.             </td>
  57.         </tr>
  58.         <tr>
  59.             <td bgcolor="#EAEAEA">
  60.                  
  61.             </td>
  62.             <td colspan="3" bgcolor="#EAEAEA">
  63.                  
  64.             </td>
  65.         </tr>
  66.         <tr>
  67.             <td bgcolor="#EAEAEA">
  68.                 Debit Order Amount
  69.             </td>
  70.             <td bgcolor="#EAEAEA">
  71.                 <span class="field">
  72.                     <asp:TextBox ID="txtAmount" runat="server" class="input1" ReadOnly="true"></asp:TextBox></span>
  73.             </td>
  74.             <td bgcolor="#EAEAEA">
  75.                 Debit Order Date
  76.             </td>
  77.             <td bgcolor="#EAEAEA">
  78.                 <span class="field">
  79.                     <asp:TextBox ID="txtDebitDate" runat="server" class="input1" ReadOnly="true"></asp:TextBox></span>
  80.             </td>
  81.         </tr>
  82.         <tr>
  83.         <td colspan="4">
  84.         
  85.             <asp:ImageButton ID="imgHome" runat="server" ImageUrl="~/images/buttons_home.gif" />
  86.             <asp:ImageButton ID="imgLogout" runat="server" ImageUrl="~/images/buttons_logout.gif" /></td>
  87.            
  88.         </tr>
  89.     </table> </form>
  90.     <div class="alt_col1">
  91.         <img src="images/hr2.gif" width="653" height="2" alt="" /><br />
  92.         <br />
  93.         | <a href="http://www.healthcard.co.za/forms/Debit%20Order%20Authority_Change%20Request.pdf">Change debit order details</a> | 
  94.         <a href="http://www.healthcard.co.za/forms/Debit%20Order%20Cancellation%20Request.pdf">
  95.             Cancel debit order</a> | 
  96.     </div>
  97. </asp:Content>
  98.  
  99.