<%= image_tag "creditcard.gif", :id => 'creditcard-image' %>

<%= t("card_number") %> <%= creditcard_form.text_field :number, :size=> 19, :max_length => 19, :class => 'required' -%>*   ( <%= t('card_type_is') %> <%= t('unrecognized_card_type') %> )

<%= t("maestro_or_solo_cards") %> <%= t("issue_number") %> <%= creditcard_form.text_field :issue_number, {:style => 'width:40px', :title => t('enter_exactly_as_shown_on_card') + ', e.g. 2, 01.' } -%>  OR  <%= t('start_date') %> <%= select_month(@date, :prefix => 'order[creditcards_attributes][0]', :field_name => 'start_month', :use_month_numbers => true, :include_blank => true) -%> <%= select_year(@date, :prefix => 'order[creditcards_attributes][0]', :field_name => 'start_year', :start_year => Date.today.year - 15, :end_year => Date.today.year, :include_blank => true) -%>

<%= t("expiration") %> <%= select_month(Date.today, :prefix => 'order[creditcards_attributes][0]', :field_name => 'month', :use_month_numbers => true, :class => 'required') -%> <%= select_year(Date.today, :prefix => 'order[creditcards_attributes][0]', :field_name => 'year', :start_year => Date.today.year, :end_year => Date.today.year + 15, :class => 'required') -%> *

<%= t("card_code") %> <%= creditcard_form.text_field :verification_value, {:style => 'width:40px', :class => 'required'} -%>* (<%= t("whats_this") %>)

<%= creditcard_form.hidden_field :first_name -%> <%= creditcard_form.hidden_field :last_name -%>