<!--SCRIPT-->
// Included in the head element of your website
<script type="text/javascript" src="https://secure.myhelcim.com/js/version2.js"></script>

<!--FORM-->
// Included in the body element of your website
<form name="helcimForm" id="helcimForm" action="your-checkout-page.php" method="POST">

	<!--RESULTS-->
	<div id="helcimResults"></div>

	<!--SETTINGS-->
	<input type="hidden" id="token" value="58ae1d44d7ac6959332969">
	<input type="hidden" id="language" value="en">

	<!--CARD-INFORMATION-->
	Card Token: <input type="text" id="cardToken" value="1"><br/>
	Credit Card Number: <input type="text" id="cardNumber" value=""><br/>
	Expiry Month: <input type="text" id="cardExpiryMonth" value="">
 	Expiry Year: <input type="text" id="cardExpiryYear" value=""><br/>
	CVV: <input type="text" id="cardCVV" value=""><br/>

	<!--AVS-INFORMATION-->
	Card Holder Name: <input type="text" id="cardHolderName" value=""><br/>
	Card Holder Address: <input type="text" id="cardHolderAddress" value=""><br/>
	Card Holder Postal Code: <input type="text" id="cardHolderPostalCode" value=""><br/>

	<!--OPTIONAL-AMOUNT-->
	Amount: <input type="text" id="amount" value="100.00"><br/>
	<input type="hidden" id="amountShipping" value="2.00">
	<input type="hidden" id="amountTax" value="3.00">

	<!--OPTIONAL-BILLING-ADDRESS-->
	Billing - Contact Name: <input type="text" id="billing_contactName" value=""><br/>
	Billing - Business Name: <input type="text" id="billing_businessName" value=""><br/>
	Billing - Address Street 1: <input type="text" id="billing_street1" value=""><br/>
	Billing - Address Street 2: <input type="text" id="billing_street2" value=""><br/>
	Billing - City: <input type="text" id="billing_city" value=""><br/>
	Billing - Province: <input type="text" id="billing_province" value=""><br/>
	Billing - Postal Code: <input type="text" id="billing_postalCode" value=""><br/>
	Billing - Country: <input type="text" id="billing_country" value=""><br/>
	Billing - Phone Number: <input type="text" id="billing_phone" value=""><br/>
	Billing - Email Address: <input type="text" id="billing_email" value=""><br/>
	Billing - Fax: <input type="text" id="billing_fax" value=""><br/>

	<!--OPTIONAL-SHIPPING-ADDRESS-->
	Shipping - Contact Name: <input type="text" id="shipping_contactName" value=""><br/>
	Shipping - Business Name: <input type="text" id="shipping_businessName" value=""><br/>
	Shipping - Address Street 1: <input type="text" id="shipping_street1" value=""><br/>
	Shipping - Address Street 2: <input type="text" id="shipping_street2" value=""><br/>
	Shipping - City: <input type="text" id="shipping_city" value=""><br/>
	Shipping - Province: <input type="text" id="shipping_province" value=""><br/>
	Shipping - Postal Code: <input type="text" id="shipping_postalCode" value=""><br/>
	Shipping - Country: <input type="text" id="shipping_country" value=""><br/>
	Shipping - Phone Number: <input type="text" id="shipping_phone" value=""><br/>
	Shipping - Email Address: <input type="text" id="shipping_email" value=""><br/>
	Shipping - Fax: <input type="text" id="shipping_fax" value=""><br/>

	<!--OPTIONAL-ORDER-->
	Order Number: <input type="text" id="orderNumber" value="4"><br/>

	<!--OPTIONAL-CUSTOMER-->
	Customer Code: <input type="text" id="customerCode" value="3"><br/>

	<!--OPTIONAL-COMMENTS-->
	Comments: <input type="text" id="comments" value=""><br/>

	<!--OPTIONAL-ITEM-->
	ITEM 1 - SKU: <input type="text" id="itemSKU1" value="SKU100"><br/>
	ITEM 1 - Description: <input type="text" id="itemDescription1" value="Item 1 Description"><br/>
	ITEM 1 - Serial Number: <input type="text" id="itemSerialNumber1" value="SN10100100101"><br/>
	ITEM 1 - Quantity: <input type="text" id="itemQuantity1" value="2"><br/>
	ITEM 1 - Price: <input type="text" id="itemPrice1" value="10.00"><br/>
	ITEM 1 - Total: <input type="text" id="itemTotal1" value="20.00"><br/>

	ITEM 2 - SKU: <input type="text" id="itemSKU2" value="SKU200"><br/>
	ITEM 2 - Description: <input type="text" id="itemDescription2" value="Item 2 Description"><br/>
	ITEM 2 - Serial Number: <input type="text" id="itemSerialNumber2" value="SN20200200202"><br/>
	ITEM 2 - Quantity: <input type="text" id="itemQuantity2" value="2"><br/>
	ITEM 2 - Price: <input type="text" id="itemPrice2" value="15.00"><br/>
	ITEM 2 - Total: <input type="text" id="itemTotal2" value="30.00"><br/>

	<!--BUTTON-->
	<input type="button" id="buttonProcess" value="Process" onclick="javascript:helcimProcess();">

</form>