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add-confirmation.html
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<!DOCTYPE html>
<!--[if lt IE 7]> <html class="no-js lt-ie9 lt-ie8 lt-ie7" lang="en"> <![endif]-->
<!--[if IE 7]> <html class="no-js lt-ie9 lt-ie8" lang="en"> <![endif]-->
<!--[if IE 8]> <html class="no-js lt-ie9" lang="en"> <![endif]-->
<!--[if gt IE 8]><!--> <html class="no-js" lang="en"> <!--<![endif]-->
<head>
<base href="../">
<meta charset="utf-8">
<!-- Use the .htaccess and remove these lines to avoid edge case issues.
More info: h5bp.com/i/378 -->
<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
<title></title>
<meta name="description" content="">
<meta name="author" content="">
<meta name="viewport" content="width=device-width, minimum-scale=1, maximum-scale=1">
<link rel="stylesheet" href="css/application.css">
<link rel="stylesheet" href="css/brand.css">
<link rel="sitemap" type="application/xml" title="Sitemap" href="/sitemap.xml" />
<!-- All JavaScript at the bottom, except this Modernizr build. -->
<script src="js/vendor/modernizr.custom.82447.js"></script>
<script src="js/WEX.js"></script>
</head>
<body>
<div class="container" data-page="auth">
<div class="ui-panel">
<header>
<h2>Add Card - Confirmation</h2>
</header>
<div class="padding-all">
<div class="alert alert-success">
<strong>Card added successfully!</strong> Lorem ipsum dolor sit amet consectetur adipiscing elit. Cras dolor velit, varius a mattis a, dictum in diam.
</div>
</div>
<form action="#" class="form-horizontal">
<fieldset class="padding-sides">
<div class="control-group">
<div class="control-label">Card Type:</div>
<div class="controls">
<span class="readonly-value">Standard Driver Card</span>
</div>
</div>
<div class="control-group">
<div class="control-label">Products:</div>
<div class="controls"><span class="readonly-value">Fuel and Maintenance</span></div>
</div>
<hr>
<div class="control-group">
<div class="control-label">Driver ID:</div>
<div class="controls"><span class="readonly-value">12345</span></div>
</div>
<div class="control-group">
<div class="control-label">Driver Name:</div>
<div class="controls"><span class="readonly-value">David Bowie</span></div>
</div>
<div class="control-group">
<div class="control-label">Embossing on Card:</div>
<div class="controls"><span class="readonly-value">David Bowie</span></div>
</div>
<hr>
<div class="control-group">
<div class="control-label">Billing Cycle Card Purchasing Limit:</div>
<div class="controls"><span class="readonly-value">$10,000.00</span></div>
</div>
<hr>
<div class="control-group">
<div class="control-label">Shipping Method:</div>
<div class="controls">
<span class="readonly-value">USPS - Regular Mail</span>
</div>
</div>
<div class="control-group">
<div class="control-label">Shipping Address:</div>
<div class="controls">
<span class="readonly-value">
ACME CO.<br>John Doe<br>555 Main Street<br>Portland, ME 04101
</span>
</div>
</div>
</fieldset>
<div class="form-actions padding-sides">
<button class="btn btn-primary btn-large pull-right">Add Another Card</button>
</div>
</form>
</div>
</div>
</body>
</html>