<div class="componentheading">{global:formtitle}</div>
{error}
<table border="0">
	<tr class="rsform-block rsform-block-file-name-or-invoice-number">
		<td>{File Name or Invoice Number:caption}</td>
		<td>{File Name or Invoice Number:body}<div class="formClr"></div>{File Name or Invoice Number:validation}</td>
		<td>{File Name or Invoice Number:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-xamount">
		<td>{X_amount:caption} (*)</td>
		<td>{X_amount:body}<div class="formClr"></div>{X_amount:validation}</td>
		<td>{X_amount:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-xmethod">
		<td>{x_method:caption}</td>
		<td>{x_method:body}<div class="formClr"></div>{x_method:validation}</td>
		<td>{x_method:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-xcardnumber">
		<td>{x_card_number:caption} (*)</td>
		<td>{x_card_number:body}<div class="formClr"></div>{x_card_number:validation}</td>
		<td>{x_card_number:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-xexpdate">
		<td>{x_exp_date:caption} (*)</td>
		<td>{x_exp_date:body}<div class="formClr"></div>{x_exp_date:validation}</td>
		<td>{x_exp_date:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-xfirstname">
		<td>{x_first_name:caption} (*)</td>
		<td>{x_first_name:body}<div class="formClr"></div>{x_first_name:validation}</td>
		<td>{x_first_name:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-xlastname">
		<td>{x_last_name:caption} (*)</td>
		<td>{x_last_name:body}<div class="formClr"></div>{x_last_name:validation}</td>
		<td>{x_last_name:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-address-1">
		<td>{Address 1:caption} (*)</td>
		<td>{Address 1:body}<div class="formClr"></div>{Address 1:validation}</td>
		<td>{Address 1:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-address-2">
		<td>{Address 2:caption} (*)</td>
		<td>{Address 2:body}<div class="formClr"></div>{Address 2:validation}</td>
		<td>{Address 2:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-city">
		<td>{City:caption} (*)</td>
		<td>{City:body}<div class="formClr"></div>{City:validation}</td>
		<td>{City:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-xstate">
		<td>{x_state:caption} (*)</td>
		<td>{x_state:body}<div class="formClr"></div>{x_state:validation}</td>
		<td>{x_state:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-xzip">
		<td>{x_zip:caption} (*)</td>
		<td>{x_zip:body}<div class="formClr"></div>{x_zip:validation}</td>
		<td>{x_zip:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-xlogin">
		<td>{x_login:caption}</td>
		<td>{x_login:body}<div class="formClr"></div>{x_login:validation}</td>
		<td>{x_login:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-xtrankey">
		<td>{x_tran_key:caption}</td>
		<td>{x_tran_key:body}<div class="formClr"></div>{x_tran_key:validation}</td>
		<td>{x_tran_key:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-xversion">
		<td>{x_version:caption}</td>
		<td>{x_version:body}<div class="formClr"></div>{x_version:validation}</td>
		<td>{x_version:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-xdelimdata">
		<td>{x_delim_data:caption}</td>
		<td>{x_delim_data:body}<div class="formClr"></div>{x_delim_data:validation}</td>
		<td>{x_delim_data:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-xdelimchar">
		<td>{x_delim_char:caption}</td>
		<td>{x_delim_char:body}<div class="formClr"></div>{x_delim_char:validation}</td>
		<td>{x_delim_char:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-xrelayresponse">
		<td>{x_relay_response:caption}</td>
		<td>{x_relay_response:body}<div class="formClr"></div>{x_relay_response:validation}</td>
		<td>{x_relay_response:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-xtype">
		<td>{x_type:caption}</td>
		<td>{x_type:body}<div class="formClr"></div>{x_type:validation}</td>
		<td>{x_type:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-submit-payment">
		<td>{Submit Payment:caption}</td>
		<td>{Submit Payment:body}<div class="formClr"></div>{Submit Payment:validation}</td>
		<td>{Submit Payment:description}</td>
	</tr>
</table>
