<form action="{{ action }}" method="post">
  {% if not test %}
  <input type="hidden" name="merchant_id" value="{{ merchant_id }}" />
  <input type="hidden" name="success_url" value="{{ success_url }}" />
  <input type="hidden" name="cancel_url" value="{{ cancel_url }}" />
  <input type="hidden" name="declined_url" value="{{ declined_url }}" />
  {% else %}
  <input type="hidden" name="merchant_id" value="payment_nochex_test" />
  <input type="hidden" name="test_transaction" value="100" />
  <input type="hidden" name="test_success_url" value="{{ success_url }}" />
  <input type="hidden" name="test_cancel_url" value="{{ cancel_url }}" />
  <input type="hidden" name="test_declined_url" value="{{ declined_url }}" />
  {% endif %}
  <input type="hidden" name="callback_url" value="{{ callback_url }}" />
  <input type="hidden" name="amount" value="{{ amount }}" />
  <input type="hidden" name="description" value="{{ description }}" />
  <input type="hidden" name="order_id" value="{{ order_id }}" />
  <input type="hidden" name="billing_fullname" value="{{ billing_fullname }}" />
  <input type="hidden" name="billing_address" value="{{ billing_address }}" />
  <input type="hidden" name="billing_postcode" value="{{ billing_postcode }}" />
  <input type="hidden" name="delivery_fullname" value="{{ delivery_fullname }}" />
  <input type="hidden" name="delivery_address" value="{{ delivery_address }}" />
  <input type="hidden" name="delivery_postcode" value="{{ delivery_postcode }}" />
  <input type="hidden" name="customer_phone_number" value="{{ customer_phone_number }}" />
  <input type="hidden" name="email_address" value="{{ email_address }}" />
  <input type="hidden" name="hide_billing_details" value="true" />
  <div class="buttons">
    <div class="pull-right">
      <input type="submit" value="{{ button_confirm }}" class="btn btn-primary" />
    </div>
  </div>
</form>
