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Archived Online Payments

Form 3

Review your basket

Fixed Penalty Notice

Serial number
098765

Amount (£)
£60.00

Fair Trader Membership Fee

Membership number
MFTS HI 9999

Amount (£)
£240.00

Invoice

Invoice number
16 12345 0601234567

Amount (£)
£145.00

Total Amount

Amount (£)
£445.00

<h1 class="heading-large">Review your basket</h1>

<form action="form_4" method="post">
<div class="content-block">

    <div class="form-group">

        <div class="data-bottom-buttons">
            <div class="data-text">
                <p>Fixed Penalty Notice</p>
                <p>
                    <span class="strong">Serial number</span><br>
                    098765
                </p>
                <p>
                    <span class="strong">Amount</span> (£)<br>
                    £60.00
                </p>
            </div>
            <div class="data-button">
                <button class="text-button">Change</button>
                <span class="spacer"></span>
                <button class="button">Remove</button>
            </div>
        </div>

        <div class="data-bottom-buttons">
            <div class="data-text">
                <p>Fair Trader Membership Fee</p>
                <p>
                    <span class="strong">Membership number</span><br>
                    MFTS HI 9999
                </p>
                <p>
                    <span class="strong">Amount</span> (£)<br>
                    £240.00
                </p>
            </div>
            <div class="data-button">
                <button class="text-button">Change</button>
                <span class="spacer"></span>
                <button class="button">Remove</button>
            </div>
        </div>

        <div class="data-bottom-buttons">
            <div class="data-text">
                <p>Invoice</p>
                <p>
                    <span class="strong">Invoice number</span><br>
                    16 12345 0601234567
                </p>
                <p>
                    <span class="strong">Amount</span> (£)<br>
                    £145.00
                </p>
            </div>
            <div class="data-button">
                <button class="text-button">Change</button>
                <span class="spacer"></span>
                <button class="button">Remove</button>
            </div>
        </div>

        <div class="data-bottom-right-button">
            <div class="data-text">
                <p class="strong">Total Amount</p>
                <p>
                    <span class="strong">Amount</span> (£)<br>
                    £445.00
                </p>
                <div class="form-step-buttons">
                    <button class="button">Continue</button>
                </div>
            </div>
        </div>

    </div>

</div>
</form>