[cheesylard]

This is really good.

However, there is a few things that makes me not want to use it.

Firstly, no security code.

Secondly, it's hard to tell which fields aren't being filled out. Especially the YOUR NAME in particular. Maybe you should make these fields red, or when you complete a field it automatically goes to the next field. For example, when you finish typing in your credit card number the cursor automatically goes to the expiration date, and when you finish typing the expiration date it automatically goes to the name. Just a suggestion.