<?php
if(empty($_REQUEST['user']) || empty($_REQUEST['pass'])) {
	header('Location: index.php');
}
session_start();
$error='';

$error='';
$message='';
if (!empty($_POST)) {
	//bill user and set next bill date.
}

$title = 'Reactivate Account';
$body_id = 'sub';
require_once("header.php") ?> 

		<form method="post" action="reactivate.php">
        <table cellpadding="0" cellspacing="0" align="center">
       		<tr>
    			<td align="left">
                    <h2>Welcome to Funding Applications!</h2>
                    <p>There was a problem with your billing information we have on file. Please update your information to reactivate your account.</p>
    				<div align="center">    
                        <table id="form">
                            <tr>
                                <td class="form_top"></td>
                            </tr>
                            <tr>
                                <td class="form_in">
									<? if ($error !=''):?>
                                    <div style='background-color:#ffffff; padding:0 20px; margin:0 0 20px 0; border-top:1px dotted #888888; border-bottom:1px dotted #888888'><p style="color:#CA440B">
                                    <?=$error;?>
                                    </p></div>
                                    <? endif;?>
                                    <table align="center">
                                        <tr>
											<td style="text-align:right;">Credit Card Number:</td>
											<td><input type="text" name="cc_num" size="20" maxlength="16" value="<?= ($cc_num != '') ? $cc_num : NULL; ?>" /></td>
                                        </tr>
                                        <tr>
											<td style="text-align:right;">Exp:</td>
											<td>
												<select name="cc_month">
													<option value="MM">MM</option>
													<? 
														for($i = 1; $i <= 12; $i++) {
															$month = sprintf('%02s',$i);
															$selected = (strcmp($month, $cc_month) == 0) ? "selected" : NULL; 
															echo "\n<option value='$month' $selected>$month</option>";
														}	
													?>
												</select> &nbsp;
												<select name="cc_year">
													<option value="YYYY">YYYY</option>
													<? 
														$years = range(date('Y'), date('Y')+20);
														foreach($years as $year) {
															$selected = (strcmp($year, $cc_year) == 0) ? "selected" : NULL; 
															echo "\n<option value='$year' $selected>$year</option>";
														}
													?>
												</select> 
											</td>
										</tr>
										<tr>
											<td style="text-align:right;">3 Digit Verification Code<br />on back of Card:</td>
											<td><input size=5 maxlength="4" name="cc_cvv" value="<?php echo $cc_cvv ?>" /></td>
										</tr>
                                        <tr>	
                                            <td colspan="2" align="center">
												<input type="hidden" name="user" value="<?= $_REQUEST['user']; ?>" />
												<input type="hidden" name="pass" value="<?= $_REQUEST['pass']; ?>" />
                                                <input type="submit" value="Update" style="cursor:pointer" />
                                            </td>
                                        </tr>
                                        <tr height="20">
                                            <td>&nbsp;</td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td class="form_bot"></td>
                            </tr>
                        </table>
   	 				</div>
				</td>
			</tr>
		</table>
	</form>

<? require_once("footer.php")?>