@if ($client)
                    {{ $client->getDisplayName() }}
                    {{ trans('texts.invoice') . ' ' . $invoiceNumber }}|  {{ trans('texts.amount_due') }}: {{ $account->formatMoney($amount, $client, true) }}
                @elseif ($paymentTitle)
                    {{ $paymentTitle }}
{{ $paymentSubtitle }}
                    
                @endif
              
        
        
            @if (Request::secure() || Utils::isNinjaDev())
            
                {{ trans('texts.secure_payment') }}
                {{ trans('texts.256_encryption') }}
       
             
            @endif
        
 
    
        {{ trans('texts.contact_information') }}
        
            
                {!! Former::text('first_name')
                        ->placeholder(trans('texts.first_name'))
                        ->autocomplete('given-name')
                        ->label('') !!}
            
            
                {!! Former::text('last_name')
                        ->placeholder(trans('texts.last_name'))
                        ->autocomplete('family-name')
                        ->label('') !!}
            
         
        @if (isset($paymentTitle))
        
            
                {!! Former::text('email')
                        ->placeholder(trans('texts.email'))
                        ->autocomplete('email')
                        ->label('') !!}
            
         
        @endif
        
 
 
        @if ($showAddress)
        
{{ trans('texts.billing_address') }}  {{ trans('texts.payment_footer1') }}
        
            
                {!! Former::text('address1')
                        ->autocomplete('address-line1')
                        ->placeholder(trans('texts.address1'))
                        ->label('') !!}
            
            
                {!! Former::text('address2')
                        ->autocomplete('address-line2')
                        ->placeholder(trans('texts.address2'))
                        ->label('') !!}
            
         
        
            
                {!! Former::text('city')
                        ->autocomplete('address-level2')
                        ->placeholder(trans('texts.city'))
                        ->label('') !!}
            
            
                {!! Former::text('state')
                        ->autocomplete('address-level1')
                        ->placeholder(trans('texts.state'))
                        ->label('') !!}
            
         
        
            
                {!! Former::text('postal_code')
                        ->autocomplete('postal-code')
                        ->placeholder(trans('texts.postal_code'))
                        ->label('') !!}
            
            
                {!! Former::select('country_id')
                        ->placeholder(trans('texts.country_id'))
                        ->fromQuery($countries, 'name', 'id')
                        ->addGroupClass('country-select')
                        ->label('') !!}
            
         
         
 
        @endif
        
{{ trans('texts.billing_method') }}
        
            
                {!! Former::text($accountGateway->getPublishableStripeKey() ? '' : 'card_number')
                        ->placeholder(trans('texts.card_number'))
                        ->autocomplete('cc-number')
                        ->data_stripe('number')
                        ->label('') !!}
            
            
                {!! Former::text($accountGateway->getPublishableStripeKey() ? '' : 'cvv')
                        ->placeholder(trans('texts.cvv'))
                        ->autocomplete('off')
                        ->data_stripe('cvc')
                        ->label('') !!}
            
         
        
            
                {!! Former::select($accountGateway->getPublishableStripeKey() ? '' : 'expiration_month')
                        ->autocomplete('cc-exp-month')
                        ->data_stripe('exp-month')
                        ->placeholder(trans('texts.expiration_month'))
                          ->addOption('01 - January', '1')
                          ->addOption('02 - February', '2')
                          ->addOption('03 - March', '3')
                          ->addOption('04 - April', '4')
                          ->addOption('05 - May', '5')
                          ->addOption('06 - June', '6')
                          ->addOption('07 - July', '7')
                          ->addOption('08 - August', '8')
                          ->addOption('09 - September', '9')
                          ->addOption('10 - October', '10')
                          ->addOption('11 - November', '11')
                          ->addOption('12 - December', '12')->label('')
                        !!}
            
            
                {!! Former::select($accountGateway->getPublishableStripeKey() ? '' : 'expiration_year')
                        ->autocomplete('cc-exp-year')
                        ->data_stripe('exp-year')
                        ->placeholder(trans('texts.expiration_year'))
                            ->addOption('2016', '2016')
                            ->addOption('2017', '2017')
                            ->addOption('2018', '2018')
                            ->addOption('2019', '2019')
                            ->addOption('2020', '2020')
                            ->addOption('2021', '2021')
                            ->addOption('2022', '2022')
                            ->addOption('2023', '2023')
                            ->addOption('2024', '2024')
                            ->addOption('2025', '2025')
                            ->addOption('2026', '2026')->label('')
                          !!}
            
         
        
            
                @if ($client && $account->showTokenCheckbox())
                    selectTokenCheckbox() ? 'CHECKED' : '' }} value="1" style="margin-left:0px; vertical-align:top">
                    
                    {!! trans('texts.token_billing_secure', ['stripe_link' => link_to('https://stripe.com/', 'Stripe.com', ['target' => '_blank'])]) !!}
                @endif
            
  
            
            @if (isset($acceptedCreditCardTypes))
                
                    @foreach ($acceptedCreditCardTypes as $card)
                    
![{{ $card['alt'] }}]({{ $card['source'] }})
                    @endforeach
                
            @endif
            
 
        
         
 
        
            {!! Button::success(strtoupper(trans('texts.pay_now') . ' - ' . $account->formatMoney($amount, $client, true)  ))
                            ->submit()
                            ->large() !!}