stripefromcode

<form action="charge.php" method="post">
    <h3>Sign up and buy a quote now! Only $535.00!</h3>
    <input type="hidden" name="single_purchase" value="single_purchae" />
    <input type="text" name="email" placeholder="E-mail address" />
    <input type="text" name="restaurant" placeholder="Restaurant Name" />
    <input type="password" name="password" placeholder="Password" />
    <script src="https://button.stripe.com/v1/button.js" class="stripe-button"
      data-key="<?php echo $stripe['publishable_key']; ?>"
      data-amount=53500
      data-description="One Wilde quote"
      data-label="Buy"
      data-address
      data-restaurant
      ></script>
</form>