jQuery("#form-container").html("<style type=\"text\/css\">\n    #form-payment .wait img\n    {\n        display : inline;\n    }\n<\/style>\n\n<div class=\"row\">\n    <div class=\"col-md-6\">\n        <div class=\"form-group\">\n            <label>Currency<\/label>\n            <div class=\"controls\">\n                <input class=\"form-control\" value=\"$AUD\" readonly \/>\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"col-md-5 col-md-push-1\">\n        <div class=\"pull-right\"><img src=\"\/\/forms.jxt.com.au\/FORMS\/konnecting\/pay\/img\/eway-logo.svg\" alt=\"eway-logo\"><\/div>\n    <\/div>\n<\/div>\n\n<hr>\n\n<div id=\"form-payment\" class=\"form-container\" data-action=\"\/konnecting\/pay\/process.php\">\n    <div class=\"row\">\n        <div class=\"col-md-6\">\n            <div class=\"row\">\n                <div class=\"col-md-6\">\n                    <div class=\"form-group first_name\">\n                        <label>First Name *<\/label>\n                        <div class=\"controls\">\n                            <input type=\"text\" name=\"_efp[first_name]\" class=\"form-control\" maxlength=\"50\" \/>\n                        <\/div>\n                    <\/div>\n                <\/div>\n\n                <div class=\"col-md-6\">\n                    <div class=\"form-group last_name\">\n                        <label>Last Name *<\/label>\n                        <div class=\"controls\">\n                            <input type=\"text\" name=\"_efp[last_name]\" class=\"form-control\" maxlength=\"50\" \/>\n                        <\/div>\n                    <\/div>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group email\">\n                <label>Email Address *<\/label>\n                <div class=\"controls\">\n                    <input type=\"text\" name=\"_efp[email]\" class=\"form-control\" maxlength=\"255\" \/>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group phone\">\n                <label>Phone Number<\/label>\n                <div class=\"controls\">\n                    <input type=\"text\" name=\"_efp[phone]\" class=\"form-control\" maxlength=\"255\" \/>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group address\">\n                <label>Address *<\/label>\n                <div class=\"controls\">\n                    <input type=\"text\" name=\"_efp[address]\" class=\"form-control\" maxlength=\"255\" \/>\n                <\/div>\n            <\/div>\n\n            <div class=\"row\">\n                <div class=\"col-md-4\">\n                    <div class=\"form-group city\">\n                        <label>City *<\/label>\n                        <div class=\"controls\">\n                            <input type=\"text\" name=\"_efp[city]\" class=\"form-control\" maxlength=\"255\" \/>\n                        <\/div>\n                    <\/div>\n                <\/div>\n\n                <div class=\"col-md-4\">\n                    <div class=\"form-group state\">\n                        <label>State *<\/label>\n                        <div class=\"controls\">\n                            <input type=\"text\" name=\"_efp[state]\" class=\"form-control\" maxlength=\"255\" \/>\n                        <\/div>\n                    <\/div>\n                <\/div>\n\n                <div class=\"col-md-4\">\n                    <div class=\"form-group postcode\">\n                        <label>Postcode *<\/label>\n                        <div class=\"controls\">\n                            <input type=\"text\" name=\"_efp[postcode]\" class=\"form-control\" maxlength=\"255\" \/>\n                        <\/div>\n                    <\/div>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group country\">\n                <label>Country *<\/label>\n                <div class=\"controls\">\n                    <input type=\"text\" name=\"_efp[country]\" class=\"form-control\" maxlength=\"255\" \/>\n                <\/div>\n            <\/div>\n        <\/div>\n\n        <div class=\"col-md-5 col-md-push-1\">\n            <div class=\"form-group amount\">\n                <label>Enter Amount *<\/label>\n                <div class=\"controls\">\n                    <input type=\"text\" name=\"_efp[amount]\" class=\"form-control\" maxlength=\"255\" \/>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group message\">\n                <label>Message<\/label>\n                <div class=\"controls\">\n                    <textarea name=\"_efp[message]\" class=\"form-control\" rows=\"5\" maxlength=\"3000\"><\/textarea>\n                <\/div>\n            <\/div>\n\t\t\t\n\t\t\t<div class=\"form-group captcha\">\n\t\t\t\t<label for=\"_efp_captcha\">Are you a robot? <span class=\"required\">*<\/span><\/label>\n\n\t\t\t\t<div class=\"controls\">\n\t\t\t\t\t<div class=\"g-recaptcha\" data-sitekey=\"6LdfNgATAAAAAESJSp9zNgLZRm7LqdPIi1Lrjxx7\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n            <div id=\"pay-button\">\n                <button type=\"button\" class=\"btn btn-primary\" onclick=\"efp.submitForm(this, successCallback);\">Submit<\/button>\n\n                <span class=\"wait\" style=\"display: none;\"><img src=\"\/\/f.jxt.com.au\/_common\/img\/loading.gif\" \/> Processing...<\/span>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"form-payment-success\" style=\"display: none;\">\n    <h2>Thanks!<\/h2>\n\n    <p>Thank you for your payment.<\/p>\n<\/div>\n\n<script src=\"https:\/\/www.google.com\/recaptcha\/api.js\" async defer><\/script>\n\n<script type=\"text\/javascript\">\n    function successCallback(response)\n    {\n        console.log(response);\n\n        if (response.redirect != undefined)\n        {\n            window.location.href = response.redirect;\n        }\n    }\n<\/script>\n")