<?php
/**
 * Card Form - Full
 *
 * This template is for displaying credit card form details. It's shown on the registration
 * form when selecting a gateway that supports taking credit/debit card details directly and
 * requires a full billing address.
 *
 * For modifying this template, please see: https://restrictcontentpro.com/knowledgebase/editing-template-files/
 *
 * @package     Kadence Memberships Pro
 * @subpackage  Templates/Card Form Full
 * @copyright   Copyright (c) 2017, Kadence Memberships Pro
 * @license     http://opensource.org/licenses/gpl-2.0.php GNU Public License
 */

?>

<fieldset class="rcp_card_fieldset">
    <p id="rcp_card_number_wrap">
        <label><?php _e( 'Card Number', 'rcp' ); ?></label>
        <input type="text" size="20" maxlength="20" name="rcp_card_number" class="rcp_card_number card-number" />
    </p>
    <p id="rcp_card_cvc_wrap">
        <label><?php _e( 'Card CVC', 'rcp' ); ?></label>
        <input type="text" size="4" maxlength="4" name="rcp_card_cvc" class="rcp_card_cvc card-cvc" />
    </p>
    <p id="rcp_card_address_wrap">
        <label><?php _e( 'Address', 'rcp' ); ?></label>
        <input type="text" size="20" name="rcp_card_address" class="rcp_card_address card-address" />
    </p>
    <p id="rcp_card_city_wrap">
        <label><?php _e( 'City', 'rcp' ); ?></label>
        <input type="text" size="20" name="rcp_card_city" class="rcp_card_city card-city" />
    </p>
    <p id="rcp_card_state_wrap">
        <label><?php _e( 'State or Province', 'rcp' ); ?></label>
        <input type="text" size="20" name="rcp_card_state" class="rcp_card_state card-state" />
    </p>
    <p id="rcp_card_country_wrap">
        <label><?php _e( 'Country', 'rcp' ); ?></label>
        <select name="rcp_card_country" class="rcp_card_country card-country">
			<option value="">Country</option>
			<option value="US">United States</option>
			<option value="CA">Canada</option>
			<option value="GB">United Kingdom</option>
			<option value="AF">Afghanistan</option>
			<option value="AX">Åland Islands</option>
			<option value="AL">Albania</option>
			<option value="DZ">Algeria</option>
			<option value="AS">American Samoa</option>
			<option value="AD">Andorra</option>
			<option value="AO">Angola</option>
			<option value="AI">Anguilla</option>
			<option value="AQ">Antarctica</option>
			<option value="AG">Antigua and Barbuda</option>
			<option value="AR">Argentina</option>
			<option value="AM">Armenia</option>
			<option value="AW">Aruba</option>
			<option value="AU">Australia</option>
			<option value="AT">Austria</option>
			<option value="AZ">Azerbaijan</option>
			<option value="BS">Bahamas</option>
			<option value="BH">Bahrain</option>
			<option value="BD">Bangladesh</option>
			<option value="BB">Barbados</option>
			<option value="BY">Belarus</option>
			<option value="BE">Belgium</option>
			<option value="BZ">Belize</option>
			<option value="BJ">Benin</option>
			<option value="BM">Bermuda</option>
			<option value="BT">Bhutan</option>
			<option value="BO">Bolivia</option>
			<option value="BQ">Bonaire, Saint Eustatius and Saba</option>
			<option value="BA">Bosnia and Herzegovina</option>
			<option value="BW">Botswana</option>
			<option value="BV">Bouvet Island</option>
			<option value="BR">Brazil</option>
			<option value="IO">British Indian Ocean Territory</option>
			<option value="BN">Brunei Darrussalam</option>
			<option value="BG">Bulgaria</option>
			<option value="BF">Burkina Faso</option>
			<option value="BI">Burundi</option>
			<option value="KH">Cambodia</option>
			<option value="CM">Cameroon</option>
			<option value="CV">Cape Verde</option>
			<option value="KY">Cayman Islands</option>
			<option value="CF">Central African Republic</option>
			<option value="TD">Chad</option>
			<option value="CL">Chile</option>
			<option value="CN">China</option>
			<option value="CX">Christmas Island</option>
			<option value="CC">Cocos Islands</option>
			<option value="CO">Colombia</option>
			<option value="KM">Comoros</option>
			<option value="CD">Congo, Democratic People's Republic</option>
			<option value="CG">Congo, Republic of</option>
			<option value="CK">Cook Islands</option>
			<option value="CR">Costa Rica</option>
			<option value="CI">Cote D&#39;Ivoire</option>
			<option value="HR">Croatia/Hrvatska</option>
			<option value="CU">Cuba</option>
			<option value="CW">CuraÇao</option>
			<option value="CY">Cyprus</option>
			<option value="CZ">Czechia</option>
			<option value="DK">Denmark</option>
			<option value="DJ">Djibouti</option>
			<option value="DM">Dominica</option>
			<option value="DO">Dominican Republic</option>
			<option value="TP">East Timor</option>
			<option value="EC">Ecuador</option>
			<option value="EG">Egypt</option>
			<option value="GQ">Equatorial Guinea</option>
			<option value="SV">El Salvador</option>
			<option value="ER">Eritrea</option>
			<option value="EE">Estonia</option>
			<option value="ET">Ethiopia</option>
			<option value="FK">Falkland Islands</option>
			<option value="FO">Faroe Islands</option>
			<option value="FJ">Fiji</option>
			<option value="FI">Finland</option>
			<option value="FR">France</option>
			<option value="GF">French Guiana</option>
			<option value="PF">French Polynesia</option>
			<option value="TF">French Southern Territories</option>
			<option value="GA">Gabon</option>
			<option value="GM">Gambia</option>
			<option value="GE">Georgia</option>
			<option value="DE">Germany</option>
			<option value="GR">Greece</option>
			<option value="GH">Ghana</option>
			<option value="GI">Gibraltar</option>
			<option value="GL">Greenland</option>
			<option value="GD">Grenada</option>
			<option value="GP">Guadeloupe</option>
			<option value="GU">Guam</option>
			<option value="GT">Guatemala</option>
			<option value="GG">Guernsey</option>
			<option value="GN">Guinea</option>
			<option value="GW">Guinea-Bissau</option>
			<option value="GY">Guyana</option>
			<option value="HT">Haiti</option>
			<option value="HM">Heard and McDonald Islands</option>
			<option value="VA">Holy See (City Vatican State)</option>
			<option value="HN">Honduras</option>
			<option value="HK">Hong Kong</option>
			<option value="HU">Hungary</option>
			<option value="IS">Iceland</option>
			<option value="IN">India</option>
			<option value="ID">Indonesia</option>
			<option value="IR">Iran</option>
			<option value="IQ">Iraq</option>
			<option value="IE">Ireland</option>
			<option value="IM">Isle of Man</option>
			<option value="IL">Israel</option>
			<option value="IT">Italy</option>
			<option value="JM">Jamaica</option>
			<option value="JP">Japan</option>
			<option value="JE">Jersey</option>
			<option value="JO">Jordan</option>
			<option value="KZ">Kazakhstan</option>
			<option value="KE">Kenya</option>
			<option value="KI">Kiribati</option>
			<option value="KW">Kuwait</option>
			<option value="KG">Kyrgyzstan</option>
			<option value="LA">Lao People's Democratic Republic</option>
			<option value="LV">Latvia</option>
			<option value="LB">Lebanon</option>
			<option value="LS">Lesotho</option>
			<option value="LR">Liberia</option>
			<option value="LY">Libyan Arab Jamahiriya</option>
			<option value="LI">Liechtenstein</option>
			<option value="LT">Lithuania</option>
			<option value="LU">Luxembourg</option>
			<option value="MO">Macau</option>
			<option value="MK">Macedonia</option>
			<option value="MG">Madagascar</option>
			<option value="MW">Malawi</option>
			<option value="MY">Malaysia</option>
			<option value="MV">Maldives</option>
			<option value="ML">Mali</option>
			<option value="MT">Malta</option>
			<option value="MH">Marshall Islands</option>
			<option value="MQ">Martinique</option>
			<option value="MR">Mauritania</option>
			<option value="MU">Mauritius</option>
			<option value="YT">Mayotte</option>
			<option value="MX">Mexico</option>
			<option value="FM">Micronesia</option>
			<option value="MD">Moldova, Republic of</option>
			<option value="MC">Monaco</option>
			<option value="MN">Mongolia</option>
			<option value="ME">Montenegro</option>
			<option value="MS">Montserrat</option>
			<option value="MA">Morocco</option>
			<option value="MZ">Mozambique</option>
			<option value="MM">Myanmar</option>
			<option value="NA">Namibia</option>
			<option value="NR">Nauru</option>
			<option value="NP">Nepal</option>
			<option value="NL">Netherlands</option>
			<option value="AN">Netherlands Antilles</option>
			<option value="NC">New Caledonia</option>
			<option value="NZ">New Zealand</option>
			<option value="NI">Nicaragua</option>
			<option value="NE">Niger</option>
			<option value="NG">Nigeria</option>
			<option value="NU">Niue</option>
			<option value="NF">Norfolk Island</option>
			<option value="KP">North Korea</option>
			<option value="MP">Northern Mariana Islands</option>
			<option value="NO">Norway</option>
			<option value="OM">Oman</option>
			<option value="PK">Pakistan</option>
			<option value="PW">Palau</option>
			<option value="PS">Palestinian Territories</option>
			<option value="PA">Panama</option>
			<option value="PG">Papua New Guinea</option>
			<option value="PY">Paraguay</option>
			<option value="PE">Peru</option>
			<option value="PH">Philippines</option>
			<option value="PN">Pitcairn Island</option>
			<option value="PL">Poland</option>
			<option value="PT">Portugal</option>
			<option value="PR">Puerto Rico</option>
			<option value="QA">Qatar</option>
			<option value="XK">Republic of Kosovo</option>
			<option value="RE">Reunion Island</option>
			<option value="RO">Romania</option>
			<option value="RU">Russian Federation</option>
			<option value="RW">Rwanda</option>
			<option value="BL">Saint Barthélemy</option>
			<option value="SH">Saint Helena</option>
			<option value="KN">Saint Kitts and Nevis</option>
			<option value="LC">Saint Lucia</option>
			<option value="MF">Saint Martin (French)</option>
			<option value="SX">Saint Martin (Dutch)</option>
			<option value="PM">Saint Pierre and Miquelon</option>
			<option value="VC">Saint Vincent and the Grenadines</option>
			<option value="SM">San Marino</option>
			<option value="ST">São Tomé and Príncipe</option>
			<option value="SA">Saudi Arabia</option>
			<option value="SN">Senegal</option>
			<option value="RS">Serbia</option>
			<option value="SC">Seychelles</option>
			<option value="SL">Sierra Leone</option>
			<option value="SG">Singapore</option>
			<option value="SK">Slovak Republic</option>
			<option value="SI">Slovenia</option>
			<option value="SB">Solomon Islands</option>
			<option value="SO">Somalia</option>
			<option value="ZA">South Africa</option>
			<option value="GS">South Georgia</option>
			<option value="KR">South Korea</option>
			<option value="SS">South Sudan</option>
			<option value="ES">Spain</option>
			<option value="LK">Sri Lanka</option>
			<option value="SD">Sudan</option>
			<option value="SR">Suriname</option>
			<option value="SJ">Svalbard and Jan Mayen Islands</option>
			<option value="SZ">Swaziland</option>
			<option value="SE">Sweden</option>
			<option value="CH">Switzerland</option>
			<option value="SY">Syrian Arab Republic</option>
			<option value="TW">Taiwan</option>
			<option value="TJ">Tajikistan</option>
			<option value="TZ">Tanzania</option>
			<option value="TH">Thailand</option>
			<option value="TL">Timor-Leste</option>
			<option value="TG">Togo</option>
			<option value="TK">Tokelau</option>
			<option value="TO">Tonga</option>
			<option value="TT">Trinidad and Tobago</option>
			<option value="TN">Tunisia</option>
			<option value="TR">Turkey</option>
			<option value="TM">Turkmenistan</option>
			<option value="TC">Turks and Caicos Islands</option>
			<option value="TV">Tuvalu</option>
			<option value="UG">Uganda</option>
			<option value="UA">Ukraine</option>
			<option value="AE">United Arab Emirates</option>
			<option value="UY">Uruguay</option>
			<option value="UM">US Minor Outlying Islands</option>
			<option value="UZ">Uzbekistan</option>
			<option value="VU">Vanuatu</option>
			<option value="VE">Venezuela</option>
			<option value="VN">Vietnam</option>
			<option value="VG">Virgin Islands (British)</option>
			<option value="VI">Virgin Islands (USA)</option>
			<option value="WF">Wallis and Futuna Islands</option>
			<option value="EH">Western Sahara</option>
			<option value="WS">Western Samoa</option>
			<option value="YE">Yemen</option>
			<option value="ZM">Zambia</option>
			<option value="ZW">Zimbabwe</option>
        </select>
    </p>
    <p id="rcp_card_zip_wrap">
        <label><?php _e( 'Card ZIP or Postal Code', 'rcp' ); ?></label>
        <input type="text" size="10" name="rcp_card_zip" class="rcp_card_zip card-zip" />
    </p>
    <p id="rcp_card_name_wrap">
        <label><?php _e( 'Name on Card', 'rcp' ); ?></label>
        <input type="text" size="20" name="rcp_card_name" class="rcp_card_name card-name" />
    </p>
    <p id="rcp_card_exp_wrap">
        <label><?php _e( 'Expiration (MM/YYYY)', 'rcp' ); ?></label>
        <select name="rcp_card_exp_month" class="rcp_card_exp_month card-expiry-month">
            <?php for( $i = 1; $i <= 12; $i++ ) : ?>
                <option value="<?php echo $i; ?>"><?php echo $i . ' - ' . rcp_get_month_name( $i ); ?></option>
            <?php endfor; ?>
        </select>
        <span class="rcp_expiry_separator"> / </span>
        <select name="rcp_card_exp_year" class="rcp_card_exp_year card-expiry-year">
            <?php
            $year = date( 'Y' );
            for( $i = $year; $i <= $year + 10; $i++ ) : ?>
                <option value="<?php echo $i; ?>"><?php echo $i; ?></option>
            <?php endfor; ?>
        </select>
    </p>
</fieldset>
