<div class="ulp-stripe-form" id="ulp_stripe_payment_form_fields" style="display: none;">

    <div class="ulp-stripe-field">

        <label><?php _e('Full name on card:', 'ulp');?></label>

        <input type="text" name="card_name" value="" />

    </div>

    <div class="ulp-stripe-field">

        <label><?php _e('Card number:', 'ulp');?></label>

        <input type="number" name="card_num" value="" />

    </div>

    <div class="ulp-stripe-field">

      <label><?php _e('Card expire Month:', 'ulp');?></label>

      <input type="number" name="card_exp_month" value="" placeholder="mm" max="12" min="1" />

    </div>

    <div class="ulp-stripe-field">

      <label><?php _e('Card expire Year:', 'ulp');?></label>

      <input type="number" name="card_exp_year" value="" placeholder="yy" min="10" max="99"/>

    </div>

    <div class="ulp-stripe-field">

      <label><?php _e('CVC:', 'ulp');?></label>

      <input type="number" name="cvc" value="" max="999" />

    </div>

</div>

