<link href="//netdna.bootstrapcdn.com/bootstrap/3.0.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.0.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<!------ Include the above in your HEAD tag ---------->
<!--
The MIT License (MIT)
Copyright (c) 2015 William Hilton
Permission is hereby granted, free of charge, to any person obtaining a copy
of this software and associated documentation files (the "Software"), to deal
in the Software without restriction, including without limitation the rights
to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
copies of the Software, and to permit persons to whom the Software is
furnished to do so, subject to the following conditions:
The above copyright notice and this permission notice shall be included in
all copies or substantial portions of the Software.
THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN
THE SOFTWARE.
-->
<!-- Vendor libraries -->
<link rel="stylesheet" href="http://maxcdn.bootstrapcdn.com/font-awesome/4.3.0/css/font-awesome.min.css">
<script type="text/javascript" src="http://cdn.jsdelivr.net/jquery.validation/1.13.1/jquery.validate.min.js"></script>
<!-- If you're using Stripe for payments -->
<script type="text/javascript" src="https://js.stripe.com/v2/"></script>
<!-- Credit card form -->
<div class="container">
<div class="row">
<div class="col-xs-12 col-md-4">
<div class="panel panel-default">
<div class="panel-heading">
<h3 class="panel-title">Billing Amount</h3>
</div>
<div class="panel-body">
<form role="form" id="payment-form">
<div class="row">
<div class="col-xs-12">
<div class="form-group">
<label for="cardNumber">Knee Surgery </label>
<div class="input-group">
</div>
</div>
</div>
</div>
</form>
</div>
</div>
</div>
<div class="col-xs-12 col-md-4">
<div class="panel panel-default">
<div class="panel-heading">
<h3 class="panel-title"><img class="pull-right" src="http://i76.imgup.net/accepted_c22e0.png">Payment Details</h3>
</div>
<div class="panel-body">
<form role="form" id="payment-form">
<div class="row">
<div class="col-xs-12">
<div class="form-group">
<label for="cardNumber">CARD NUMBER</label>
<div class="input-group">
<input type="text" class="form-control" name="cardNumber" placeholder="Valid Card Number" required autofocus data-stripe="number" />
<span class="input-group-addon"><i class="fa fa-credit-card"></i></span>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-xs-7 col-md-7">
<div class="form-group">
<label for="expMonth">EXPIRATION DATE</label>
<div class="col-xs-6 col-lg-6 pl-ziro">
<input type="text" class="form-control" name="expMonth" placeholder="MM" required data-stripe="exp_month" />
</div>
<div class="col-xs-6 col-lg-6 pl-ziro">
<input type="text" class="form-control" name="expYear" placeholder="YY" required data-stripe="exp_year" />
</div>
</div>
</div>
<div class="col-xs-5 col-md-5 pull-right">
<div class="form-group">
<label for="cvCode">CV CODE</label>
<input type="password" class="form-control" name="cvCode" placeholder="CV" required data-stripe="cvc" />
</div>
</div>
</div>
<div class="row">
<div class="col-xs-12">
<div class="form-group">
<label for="couponCode">COUPON CODE</label>
<input type="text" class="form-control" name="couponCode" />
</div>
</div>
</div>
<div class="row">
<div class="col-xs-12">
<button class="btn btn-success btn-lg btn-block" type="submit">Submit Payment</button>
</div>
</div>
<div class="row" style="display:none;">
<div class="col-xs-12">
<p class="payment-errors"></p>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
/* Padding - just for asthetics on Bootsnipp.com */
body { margin-top:20px; }
/* CSS for Credit Card Payment form */
.panel-title {display: inline;font-weight: bold;}
.checkbox.pull-right { margin: 0; }
.pl-ziro { padding-left: 0px; }
.form-control.error {
border-color: red;
outline: 0;
box-shadow: inset 0 1px 1px rgba(0,0,0,0.075),0 0 8px rgba(255,0,0,0.6);
}
label.error {
font-weight: bold;
color: red;
padding: 2px 8px;
margin-top: 2px;
}
.payment-errors {
font-weight: bold;
color: red;
padding: 2px 8px;
margin-top: 2px;
}
/*
The MIT License (MIT)
Copyright (c) 2015 William Hilton
Permission is hereby granted, free of charge, to any person obtaining a copy
of this software and associated documentation files (the "Software"), to deal
in the Software without restriction, including without limitation the rights
to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
copies of the Software, and to permit persons to whom the Software is
furnished to do so, subject to the following conditions:
The above copyright notice and this permission notice shall be included in
all copies or substantial portions of the Software.
THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN
THE SOFTWARE.
*/
var $form = $('#payment-form');
$form.on('submit', payWithStripe);
/* If you're using Stripe for payments */
function payWithStripe(e) {
e.preventDefault();
/* Visual feedback */
$form.find('[type=submit]').html('Validating <i class="fa fa-spinner fa-pulse"></i>');
var PublishableKey = 'pk_test_6pRNASCoBOKtIshFeQd4XMUh'; // Replace with your API publishable key
Stripe.setPublishableKey(PublishableKey);
Stripe.card.createToken($form, function stripeResponseHandler(status, response) {
console.log
if (response.error) {
/* Visual feedback */
$form.find('[type=submit]').html('Try again');
/* Show Stripe errors on the form */
$form.find('.payment-errors').text(response.error.message);
$form.find('.payment-errors').closest('.row').show();
} else {
/* Visual feedback */
$form.find('[type=submit]').html('Processing <i class="fa fa-spinner fa-pulse"></i>');
/* Hide Stripe errors on the form */
$form.find('.payment-errors').closest('.row').hide();
$form.find('.payment-errors').text("");
// response contains id and card, which contains additional card details
var token = response.id;
console.log(token);
// AJAX
$.post('/account/stripe_card_token', {
token: token
})
// Assign handlers immediately after making the request,
.done(function(data, textStatus, jqXHR) {
$form.find('[type=submit]').html('Payment successful <i class="fa fa-check"></i>').prop('disabled', true);
})
.fail(function(jqXHR, textStatus, errorThrown) {
$form.find('[type=submit]').html('There was a problem').removeClass('success').addClass('error');
/* Show Stripe errors on the form */
$form.find('.payment-errors').text('Try refreshing the page and trying again.');
$form.find('.payment-errors').closest('.row').show();
});
}
});
}
/* Form validation */
jQuery.validator.addMethod("month", function(value, element) {
return this.optional(element) || /^(01|02|03|04|05|06|07|08|09|10|11|12)$/.test(value);
}, "Please specify a valid 2-digit month.");
jQuery.validator.addMethod("year", function(value, element) {
return this.optional(element) || /^[0-9]{2}$/.test(value);
}, "Please specify a valid 2-digit year.");
validator = $form.validate({
rules: {
cardNumber: {
required: true,
creditcard: true,
digits: true
},
expMonth: {
required: true,
month: true
},
expYear: {
required: true,
year: true
},
cvCode: {
required: true,
digits: true
}
},
highlight: function(element) {
$(element).closest('.form-control').removeClass('success').addClass('error');
},
unhighlight: function(element) {
$(element).closest('.form-control').removeClass('error').addClass('success');
},
errorPlacement: function(error, element) {
$(element).closest('.form-group').append(error);
}
});
paymentFormReady = function() {
if ($form.find('[name=cardNumber]').hasClass("success") &&
$form.find('[name=expMonth]').hasClass("success") &&
$form.find('[name=expYear]').hasClass("success") &&
$form.find('[name=cvCode]').val().length > 1) {
return true;
} else {
return false;
}
}
$form.find('[type=submit]').prop('disabled', true);
var readyInterval = setInterval(function() {
if (paymentFormReady()) {
$form.find('[type=submit]').prop('disabled', false);
clearInterval(readyInterval);
}
}, 250);