<%@ Control Language="VB" AutoEventWireup="false" CodeFile="PayBillInfo.ascx.vb"
	Inherits="Controls_PayBillInfo" %>
<table cellpadding="5" cellspacing="0" class="panel">
	<tr>
		<th style="text-align: left" colspan="2">
			Charter Quick Pay</th>
	</tr>
	<tr>
		<td colspan="2">
			* Required</td>
	</tr>
	<tr>
		<td colspan="2">
			Make a payment online and eliminate waiting on the phone or mailing in a paper bill!
			It's quick AND easy!
		</td>
	</tr>
	<tr>
		<td style="text-align: right; width: 40%">
			* Telephone Number:</td>
		<td>
			<asp:TextBox ID="txtPhoneNumber" runat="server" MaxLength="30" Width="190px" />
			<asp:RequiredFieldValidator ID="vldPhoneNumberRequired" runat="server" ControlToValidate="txtPhoneNumber"
				Display="Static" ErrorMessage="Required" />
			<asp:RegularExpressionValidator ID="vldPhoneNumberExpression" runat="server" ControlToValidate="txtPhoneNumber"
				Display="Static" ErrorMessage="Invalid format" ValidationExpression="((\(\d{3}\) ?)|(\d{3}-))?\d{3}-\d{4}" /></td>
	</tr>
	<tr>
		<td style="text-align: right">
			* Zip Code:</td>
		<td>
			<asp:TextBox ID="txtZipCode" runat="server" MaxLength="5" Width="190px" />
			<asp:RequiredFieldValidator ID="vldZipCodeRequired" runat="server" ControlToValidate="txtZipCode"
				Display="Static" ErrorMessage="Required" />
			<asp:RegularExpressionValidator ID="vldZipCodeRegExp" runat="server" ControlToValidate="txtZipCode"
				Display="Static" ErrorMessage="Invalid format" ValidationExpression="^\d{5}$" />
		</td>
	</tr>
	<tr>
		<td style="text-align: right">
			Email:</td>
		<td>
			<asp:TextBox ID="txtEmailAddress" runat="server" Width="190px" />
			<asp:RegularExpressionValidator ID="vldEmailExpression" runat="server" ErrorMessage="Invalid Format"
				ValidationExpression="\w+([-+.']\w+)*@\w+([-.]\w+)*\.\w+([-.]\w+)*" ControlToValidate="txtEmailAddress"></asp:RegularExpressionValidator></td>
	</tr>
	<tr>
		<td>
		</td>
		<td>
			<asp:Button ID="btnSubmit" runat="server" Text="Submit" />
		</td>
	</tr>
</table>
