var checkout_tos_required = false; var checkout_validation_required = false; function getBillingInfoForm(success_target_arg,err_target_arg,cancel_target_arg) { document.getElementById("reg_billing_info_form").innerHTML = "Loading billing info form..."; contentString = ""; contentString += "
\n"; contentString += "
\n"; contentString += "Billing Information:

Please complete all fields below:

"; contentString += "\n"; contentString += "\n"; contentString += "\n"; contentString += "\n"; contentString += "\n"; contentString += "\n"; contentString += "\n"; contentString += "
Cardholder First Name:<\/td>\n"; contentString += "<\/td>\n"; contentString += "Cardholder Last Name:<\/td>\n"; contentString += "<\/td>\n"; contentString += "<\/tr>\n"; contentString += "
Cardholder Address:<\/td>\n"; contentString += "<\/td>\n"; contentString += "City:<\/td>\n"; contentString += "<\/td>\n"; contentString += "<\/tr>\n"; contentString += "
Country:<\/td>\n"; contentString += "State/Province:<\/td>\n"; contentString += "
Zip Code:<\/td>\n"; contentString += "<\/td>\n"; contentString += "<\/td>"; contentString += "<\/td>"; contentString += "<\/tr>\n"; contentString += "
 <\/td><\/tr>\n"; contentString += "
Card Number:<\/td>\n"; contentString += "<\/td>\n"; contentString += "CVV2 Code: (from back of card)<\/td>\n"; contentString += "<\/td>\n"; contentString += "<\/tr>\n"; contentString += "
Expiration Date:<\/td>\n"; contentString += ""; var todaysDate = new Date(); currentYear = todaysDate.getFullYear(); for (x = 0; x < 10; x++) { contentString += "