<div class="row">
  <div class="col-lg-3 form-header-wrapper"></div>
  <div class="col-lg-6 form-header-wrapper">
    <div class="row">
      <div class="col-lg-12">
        <h2><?=$text['step3Header'];?></h2>
        <hr>
      </div>
    </div>
      <div class="row">
        <div class="payment-container">
            <div class="card-wrapper"></div>
            <div class="row">
              <div class="form-group col-lg-6">
                <label for=""><?=$text['number'];?></label>
                <input type="text" placeholder="Card number" class="form-control" name="ccno" id="ccno" required>
              </div>   
			  <div class="form-group col-lg-6">
                 <input type="hidden" name="XID" id="XID" size="25"  readonly="readonly" style="width: 300px;" autocomplete="off">
              </div>
              <div class="form-group col-lg-6">
                <label for=""><?=$text['name'];?></label>
                <input type="text" placeholder="Full name"  class="form-control" name="name" id="name" required>
              </div>
            </div>
            <div class="row">
              <div class="form-group col-lg-6">
                <label for=""><?=$text['expiry'];?></label>
                <input type="text" placeholder="MMYY" class="form-control" name="expdate" id="expiry" required>
              </div>
              <div class="form-group col-lg-6">
                <label for=""><?=$text['cvc'];?></label>
                <input type="text" placeholder="CVC"  class="form-control" name="cvv" id="cvc" maxlength="3" required>
                <input type="hidden"   name="toplam_para" id="toplam_para" value="">
                <input type="hidden"   name="amount" id="amount" value="">
                <input type="hidden"   name="reservation_no" value="<?=mt_rand();?>">
              </div>
            </div>
        </div>
      </div>
		<input type="submit"  class="btn btn-primary"  value="<?=$text['submit'];?>">
      <button type="submit" class="btn btn-primary hidden" id="btnStep3"><?=$text['submit'];?></button>
  </div>
  <div class="col-lg-3"></div>
</div>
