Java Script Credit Card form creation with some additional requirement

Can somebody help me with HTML/Java Script source code for the Task below
[img=http://i40.tinypic.com/s2s46c.png]




Thank you all for helping me with this ;)

Comments

  • yeAH, would you scan in your notes as well?
    [green]WHAT you;see_is_what=you.get;[/green]
    -Russ aka DangeRuss
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