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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Checkout - EVA</title>
<link rel="stylesheet" href="css_folder/styles.css">
<link rel="stylesheet" href="css_folder/payment.css">
</head>
<body>
<div class="payment-container">
<h1>Checkout</h1>
<form id="payment-form">
<div class="form-group">
<label>Name</label>
<input type="text" id="name" required>
</div>
<div class="form-group">
<label>Email</label>
<input type="email" id="email" required>
</div>
<div class="form-group">
<label>Address</label>
<textarea id="address" required></textarea>
</div>
<div class="form-group">
<label>Card Number</label>
<input type="text" id="card" required>
</div>
<button type="submit">Complete Purchase</button>
</form>
</div>
<script src='https://cdn.jotfor.ms/s/umd/latest/for-embedded-agent.js'></script>
<script>
window.addEventListener("DOMContentLoaded", function () {
window.AgentInitializer.init({
agentRenderURL: "https://agent.jotform.com/0194e55c77377697a8d98ac9f4e1fad8b333",
rootId: "JotformAgent-0194e55c77377697a8d98ac9f4e1fad8b333",
formID: "0194e55c77377697a8d98ac9f4e1fad8b333",
queryParams: ["skipWelcome=1", "maximizable=1"],
domain: "https://www.jotform.com",
isDraggable: false,
background: "linear-gradient(180deg, #FF98BC 0%, #FF98BC 100%)",
buttonBackgroundColor: "#972D54",
buttonIconColor: "#FFF",
variant: false,
customizations: {
"greeting": "Yes",
"greetingMessage": "Hi! How can I assist you?",
"openByDefault": "No",
"pulse": "Yes",
"position": "left",
"autoOpenChatIn": "0"
},
isVoice: undefined
});
});
</script>
</body>
</html>