<form action="https://www.eprocessingnetwork.com/cgi-bin/wo/order.pl" method="post"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <input type="hidden" name="QB" value=""><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <table border="0" cellpadding="5" cellspacing="5" width="50%"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <tr><td align="center"><input type="hidden" name="ItemQty" value="1"><font face="Roboto" size="-1"></font></td><td><input type="hidden" name="ItemDesc" value="Payment on Account"><font face="Roboto" size="-1">Enter an amount to pay.</font></td><td align="right"><input type="text" name="ItemCost" value="" size="8" maxlength="8"></td></tr><!-- [et_pb_line_break_holder] --><tr><td colspan="3" align="center"><input type="submit" value="Make a Payment"> <input type="reset" value="Reset this Form"></td></tr><!-- [et_pb_line_break_holder] --><input type="hidden" name="ePNAccount" value="0617448"><!-- [et_pb_line_break_holder] --><input type="hidden" name="ReturnToURL" value="http://www.wegrowsmiles.com/pay/thank-you"><!-- [et_pb_line_break_holder] --><input type="hidden" name="BackgroundColor" value="White"><!-- [et_pb_line_break_holder] --><input type="hidden" name="TextColor" value="Black"><!-- [et_pb_line_break_holder] --></tbody></table></form>
<!DOCTYPE html><!-- [et_pb_line_break_holder] --><html lang="en"><!-- [et_pb_line_break_holder] --><head><!-- [et_pb_line_break_holder] --> <meta charset="UTF-8"><!-- [et_pb_line_break_holder] --> <title>Document</title><!-- [et_pb_line_break_holder] --> <link href="https://fonts.googleapis.com/css?family=Montserrat:400,700" rel="stylesheet"><!-- [et_pb_line_break_holder] --><style><!-- [et_pb_line_break_holder] -->/*<!-- [et_pb_line_break_holder] -->--- Basic Styling<!-- [et_pb_line_break_holder] -->*/<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->* {<!-- [et_pb_line_break_holder] --> box-sizing: border-box;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->html,<!-- [et_pb_line_break_holder] -->body {<!-- [et_pb_line_break_holder] --> font-family: 'Montserrat', sans-serif;<!-- [et_pb_line_break_holder] --> display: flex;<!-- [et_pb_line_break_holder] --> width: 100%;<!-- [et_pb_line_break_holder] --> height: 100%;<!-- [et_pb_line_break_holder] --> background: #f4f4f4;<!-- [et_pb_line_break_holder] --> justify-content: center;<!-- [et_pb_line_break_holder] --> align-items: center;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->/*<!-- [et_pb_line_break_holder] -->--- Checkout Panel<!-- [et_pb_line_break_holder] -->*/<!-- [et_pb_line_break_holder] -->.checkout-panel {<!-- [et_pb_line_break_holder] --> display: flex;<!-- [et_pb_line_break_holder] --> flex-direction: column;<!-- [et_pb_line_break_holder] --> width: 940px;<!-- [et_pb_line_break_holder] --> height: 766px;<!-- [et_pb_line_break_holder] --> background-color: rgb(255, 255, 255);<!-- [et_pb_line_break_holder] --> box-shadow: 0 1px 1px 0 rgba(0, 0, 0, .2);<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->/* Panel Body */<!-- [et_pb_line_break_holder] -->.panel-body {<!-- [et_pb_line_break_holder] --> padding: 45px 80px 0;<!-- [et_pb_line_break_holder] --> flex: 1;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.title {<!-- [et_pb_line_break_holder] --> font-weight: 700;<!-- [et_pb_line_break_holder] --> margin-top: 0;<!-- [et_pb_line_break_holder] --> margin-bottom: 40px;<!-- [et_pb_line_break_holder] --> color: #2e2e2e;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->/* Progress Bar */<!-- [et_pb_line_break_holder] -->.progress-bar {<!-- [et_pb_line_break_holder] --> display: flex;<!-- [et_pb_line_break_holder] --> margin-bottom: 50px;<!-- [et_pb_line_break_holder] --> justify-content: space-between;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.step {<!-- [et_pb_line_break_holder] --> box-sizing: border-box;<!-- [et_pb_line_break_holder] --> position: relative;<!-- [et_pb_line_break_holder] --> z-index: 1;<!-- [et_pb_line_break_holder] --> display: block;<!-- [et_pb_line_break_holder] --> width: 25px;<!-- [et_pb_line_break_holder] --> height: 25px;<!-- [et_pb_line_break_holder] --> margin-bottom: 30px;<!-- [et_pb_line_break_holder] --> border: 4px solid #fff;<!-- [et_pb_line_break_holder] --> border-radius: 50%;<!-- [et_pb_line_break_holder] --> background-color: #efefef;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.step:after {<!-- [et_pb_line_break_holder] --> position: absolute;<!-- [et_pb_line_break_holder] --> z-index: -1;<!-- [et_pb_line_break_holder] --> top: 5px;<!-- [et_pb_line_break_holder] --> left: 22px;<!-- [et_pb_line_break_holder] --> width: 225px;<!-- [et_pb_line_break_holder] --> height: 6px;<!-- [et_pb_line_break_holder] --> content: '';<!-- [et_pb_line_break_holder] --> background-color: #efefef;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.step:before {<!-- [et_pb_line_break_holder] --> color: #2e2e2e;<!-- [et_pb_line_break_holder] --> position: absolute;<!-- [et_pb_line_break_holder] --> top: 40px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.step:last-child:after {<!-- [et_pb_line_break_holder] --> content: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.step.active {<!-- [et_pb_line_break_holder] --> background-color: #f62f5e;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.step.active:after {<!-- [et_pb_line_break_holder] --> background-color: #f62f5e;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.step.active:before {<!-- [et_pb_line_break_holder] --> color: #f62f5e;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.step.active + .step {<!-- [et_pb_line_break_holder] --> background-color: #f62f5e;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.step.active + .step:before {<!-- [et_pb_line_break_holder] --> color: #f62f5e;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.step:nth-child(1):before {<!-- [et_pb_line_break_holder] --> content: 'Delivery';<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.step:nth-child(2):before {<!-- [et_pb_line_break_holder] --> right: -40px;<!-- [et_pb_line_break_holder] --> content: 'Confirmation';<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.step:nth-child(3):before {<!-- [et_pb_line_break_holder] --> right: -30px;<!-- [et_pb_line_break_holder] --> content: 'Payment';<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.step:nth-child(4):before {<!-- [et_pb_line_break_holder] --> right: 0;<!-- [et_pb_line_break_holder] --> content: 'Finish';<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->/* Payment Method */<!-- [et_pb_line_break_holder] -->.payment-method {<!-- [et_pb_line_break_holder] --> display: flex;<!-- [et_pb_line_break_holder] --> margin-bottom: 60px;<!-- [et_pb_line_break_holder] --> justify-content: space-between;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.method {<!-- [et_pb_line_break_holder] --> display: flex;<!-- [et_pb_line_break_holder] --> flex-direction: column;<!-- [et_pb_line_break_holder] --> width: 382px;<!-- [et_pb_line_break_holder] --> height: 122px;<!-- [et_pb_line_break_holder] --> padding-top: 20px;<!-- [et_pb_line_break_holder] --> cursor: pointer;<!-- [et_pb_line_break_holder] --> border: 1px solid transparent;<!-- [et_pb_line_break_holder] --> border-radius: 2px;<!-- [et_pb_line_break_holder] --> background-color: rgb(249, 249, 249);<!-- [et_pb_line_break_holder] --> justify-content: center;<!-- [et_pb_line_break_holder] --> align-items: center;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.blue-border {<!-- [et_pb_line_break_holder] --> border: 1px solid rgb(110, 178, 251);<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.card-logos {<!-- [et_pb_line_break_holder] --> display: flex;<!-- [et_pb_line_break_holder] --> width: 150px;<!-- [et_pb_line_break_holder] --> justify-content: space-between;<!-- [et_pb_line_break_holder] --> align-items: center;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.radio-input {<!-- [et_pb_line_break_holder] --> margin-top: 20px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->input[type='radio'] {<!-- [et_pb_line_break_holder] --> display: inline-block;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->/* Input Fields */<!-- [et_pb_line_break_holder] -->.input-fields {<!-- [et_pb_line_break_holder] --> display: flex;<!-- [et_pb_line_break_holder] --> justify-content: space-between;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.input-fields label {<!-- [et_pb_line_break_holder] --> display: block;<!-- [et_pb_line_break_holder] --> margin-bottom: 10px;<!-- [et_pb_line_break_holder] --> color: #b4b4b4;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.warning {<!-- [et_pb_line_break_holder] --> border-color: #f62f5e !important;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.info {<!-- [et_pb_line_break_holder] --> font-size: 12px;<!-- [et_pb_line_break_holder] --> font-weight: 300;<!-- [et_pb_line_break_holder] --> display: block;<!-- [et_pb_line_break_holder] --> margin-top: 50px;<!-- [et_pb_line_break_holder] --> opacity: .5;<!-- [et_pb_line_break_holder] --> color: #2e2e2e;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->div[class*='column'] {<!-- [et_pb_line_break_holder] --> width: 382px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->input[type='text'],<!-- [et_pb_line_break_holder] -->input[type='password'] {<!-- [et_pb_line_break_holder] --> font-size: 16px;<!-- [et_pb_line_break_holder] --> width: 100%;<!-- [et_pb_line_break_holder] --> height: 50px;<!-- [et_pb_line_break_holder] --> padding-right: 40px;<!-- [et_pb_line_break_holder] --> padding-left: 16px;<!-- [et_pb_line_break_holder] --> color: rgba(46, 46, 46, .8);<!-- [et_pb_line_break_holder] --> border: 1px solid rgb(225, 225, 225);<!-- [et_pb_line_break_holder] --> border-radius: 4px;<!-- [et_pb_line_break_holder] --> outline: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->input[type='text']:focus,<!-- [et_pb_line_break_holder] -->input[type='password']:focus {<!-- [et_pb_line_break_holder] --> border-color: rgb(119, 219, 119);<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->#date { background: url(img/icons_calendar_black.png) no-repeat 90%; }<!-- [et_pb_line_break_holder] -->#cardholder { background: url(img/icons_person_black.png) no-repeat 95%; }<!-- [et_pb_line_break_holder] -->#cardnumber { background: url(img/icons_card_black.png) no-repeat 95%; }<!-- [et_pb_line_break_holder] -->#verification { background: url(img/icons_lock_black.png) no-repeat 90%; }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.small-inputs {<!-- [et_pb_line_break_holder] --> display: flex;<!-- [et_pb_line_break_holder] --> margin-top: 20px;<!-- [et_pb_line_break_holder] --> justify-content: space-between;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.small-inputs div {<!-- [et_pb_line_break_holder] --> width: 182px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->/* Panel Footer */<!-- [et_pb_line_break_holder] -->.panel-footer {<!-- [et_pb_line_break_holder] --> display: flex;<!-- [et_pb_line_break_holder] --> width: 100%;<!-- [et_pb_line_break_holder] --> height: 96px;<!-- [et_pb_line_break_holder] --> padding: 0 80px;<!-- [et_pb_line_break_holder] --> background-color: rgb(239, 239, 239);<!-- [et_pb_line_break_holder] --> justify-content: space-between;<!-- [et_pb_line_break_holder] --> align-items: center;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->/* Buttons */<!-- [et_pb_line_break_holder] -->.btn {<!-- [et_pb_line_break_holder] --> font-size: 16px;<!-- [et_pb_line_break_holder] --> width: 163px;<!-- [et_pb_line_break_holder] --> height: 48px;<!-- [et_pb_line_break_holder] --> cursor: pointer;<!-- [et_pb_line_break_holder] --> transition: all .2s ease-in-out;<!-- [et_pb_line_break_holder] --> letter-spacing: 1px;<!-- [et_pb_line_break_holder] --> border: none;<!-- [et_pb_line_break_holder] --> border-radius: 23px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.back-btn {<!-- [et_pb_line_break_holder] --> color: #f62f5e;<!-- [et_pb_line_break_holder] --> background: #fff;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.next-btn {<!-- [et_pb_line_break_holder] --> color: #fff;<!-- [et_pb_line_break_holder] --> background: #f62f5e;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.btn:focus {<!-- [et_pb_line_break_holder] --> outline: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->.btn:hover {<!-- [et_pb_line_break_holder] --> transform: scale(1.1);<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --></style><!-- [et_pb_line_break_holder] --><meta name="robots" content="noindex,follow" /><!-- [et_pb_line_break_holder] --></head><!-- [et_pb_line_break_holder] --><body><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <div class="checkout-panel"><!-- [et_pb_line_break_holder] --> <div class="panel-body"><!-- [et_pb_line_break_holder] --> <h2 class="title">Make A Payment</h2><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <div class="progress-bar"><!-- [et_pb_line_break_holder] --> <div class="step active"></div><!-- [et_pb_line_break_holder] --> <div class="step active"></div><!-- [et_pb_line_break_holder] --> <div class="step"></div><!-- [et_pb_line_break_holder] --> <div class="step"></div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <div class="payment-method"><!-- [et_pb_line_break_holder] --> <label for="card" class="method card"><!-- [et_pb_line_break_holder] --> <div class="card-logos"><!-- [et_pb_line_break_holder] --> <img src="img/visa_logo.png"/><!-- [et_pb_line_break_holder] --> <img src="img/mastercard_logo.png"/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <div class="radio-input"><!-- [et_pb_line_break_holder] --> <input id="card" type="radio" name="payment"><!-- [et_pb_line_break_holder] --> Pay with a credit card<!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <label for="paypal" class="method paypal"><!-- [et_pb_line_break_holder] --> <img src="img/paypal_logo.png"/><!-- [et_pb_line_break_holder] --> <div class="radio-input"><!-- [et_pb_line_break_holder] --> <input id="paypal" type="radio" name="payment"><!-- [et_pb_line_break_holder] --> Pay with PayPal<!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <div class="input-fields"><!-- [et_pb_line_break_holder] --> <div class="column-1"><!-- [et_pb_line_break_holder] --> <label for="cardholder">Your Name</label><!-- [et_pb_line_break_holder] --> <input type="text" id="cardholder" /><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <div class="small-inputs"><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="date">Valid thru</label><!-- [et_pb_line_break_holder] --> <input type="text" id="date" placeholder="MM / YY" /><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="verification">CVV / CVC *</label><!-- [et_pb_line_break_holder] --> <input type="password" id="verification"/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="column-2"><!-- [et_pb_line_break_holder] --> <label for="cardnumber">Card Number</label><!-- [et_pb_line_break_holder] --> <input type="password" id="cardnumber"/><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <span class="info">* CVV or CVC is the card security code, unique three digits number on the back of your card separate from its number.</span><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <div class="panel-footer"><!-- [et_pb_line_break_holder] --><input type="reset" button class="btn back-btn" value="Reset this Form"></button><!-- [et_pb_line_break_holder] --> <input type="submit" button class="btn next-btn" value="Next Step"></button><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <script src="https://cdnjs.cloudflare.com/ajax/libs/jquery/3.1.1/jquery.min.js"></script><!-- [et_pb_line_break_holder] --> <script src="script.js"></script><!-- [et_pb_line_break_holder] --></body><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <script src="https://cdnjs.cloudflare.com/ajax/libs/jquery/3.1.1/jquery.min.js"></script><!-- [et_pb_line_break_holder] --> <script src="script.js"></script><!-- [et_pb_line_break_holder] --></body><!-- [et_pb_line_break_holder] --></html>