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	<div class="main-cart">

		<h1>Vaše naročilo</h1>

		<div class="category-bg">
		<div class="category-border">
			<div class="step-box">1. Dostava</div>
			<div class="step-box step-box-selected">2. Plačilo</div>
			<div class="step-box">3. Povzetek</div>
			<div class="step-box">4. Zaključek</div>
			<div class="clear"></div>
		</div>
		</div>

		<div class="alert">Prosimo, izpolnite zahtevana polja: Ime in priimek, Naslov, Pošta, Kraj.</div>
		<div class="payment-error">Payment failed!</div>

		<form name="payment" class="frm-default" action="/checkout" method="POST">

			<fieldset>
			<legend>Plačik</legend>
			<ul>
                <li>
                    <label>Ime</label>
                    <input type="text" name="first_name"/>
                </li>
				<li>
					<label>Priimek</label>
					<input type="text" name="last_name"/>
				</li>
				<li>
					<label>Naslov</label>
					<input type="text" name="street_address"/>
				</li>
				<li>
					<label>Pošta in kraj</label>
					<input type="text" name="zip" class="fld-small" /> <input type="text" name="city"/>
				</li>
				<li>
					<label>Država</label>
					<input type="text" disabled value="Slovenija" />
				</li>
				<li>
					<label>Telefon</label>
					<input type="text" name="phone"/>
				</li>
				<li>
					<label>E-mail naslov</label>
					<input type="text" name="email"/>
				</li>
			</ul>
			</fieldset>

			<fieldset>
			<legend>Način plačila</legend>
			<ul>
				<li>
					<a href="" class="cart-payment">
						<img src="img/amex1.gif" />
						Amex
					</a>
					<a href="" class="cart-payment">
						<img src="img/visa1.gif" />
						Visa
					</a>
					<a href="" class="cart-payment">
						<img src="img/mastercard1.gif" />
						Mastercard
					</a>
					<a href="" class="cart-payment">
						<img src="img/predracun.gif" />
						Predračun
					</a>
                    <a href="" class="cart-payment">
                        PayPal
                    </a>
				</li>
	<li>
					<label>Številka kartice</label>
					<input type="text" name="cc_number" autocomplete="off"/>
				</li>
				<li>
					<label>Varnostna koda (CVC)</label>
					<input type="text" class="fld-small" name="cvc_number" autocomplete="off"/> <a href=""><img src="img/i_info-small.png" style="margin-bottom: -5px;" /></a>
				</li>
				<li>
					<label>Velja do (mesec/leto)</label>
					<select class="fld-date" name="cc_month"><option>Mesec</option></select> <select class="fld-date" name="cc_year"><option>Leto</option></select>
				</li>
			</ul>
			</fieldset>

			<input type="submit" value="Naprej na povzetek naročila" class="btn-submit" />
			
		</form>

	</div> <!-- end main -->