{!! Lang::get('core.stripe_payment_form') !!}

{!! Form::open(array('url'=>'payment/stripe', 'class'=>'form-horizontal','id'=>'payment-form', 'parsley-validate'=>'','novalidate'=>' ' )) !!} {!! Form::hidden('course_id', $course->course_id) !!} {!! Form::hidden('course_title', $course->course_title) !!}

{!! Lang::get('core.course_title') !!}:

{!! $course->course_title !!}

{!! Lang::get('core.amount') !!} *

{!! Form::text('amount', '', array('class'=>'form-control', 'placeholder'=>'', 'required'=>'true' )) !!}

{!! Lang::get('core.Email') !!} * {!! Form::email('email', '' , array('class'=>'form-control','id'=>'email','required'=>true, 'placeholder'=>'')) !!}

{!! Lang::get('core.card_number') !!} * {!! Form::text('card-number', '' , array('class'=>'form-control','id'=>'card-number','placeholder'=>'')) !!}

{!! Lang::get('core.card_cvc') !!} * {!! Form::text('card-cvc', '' , array('class'=>'form-control','id'=>'card-cvc', 'placeholder'=>'')) !!}

{!! Lang::get('core.Expiration') !!}

{!! Form::close() !!}