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HTML

              
                <link href='https://fonts.googleapis.com/css?family=Open+Sans:400,300' rel='stylesheet' type='text/css'>
<link rel="stylesheet" href="//maxcdn.bootstrapcdn.com/font-awesome/4.3.0/css/font-awesome.min.css">

<div class="container">
  <div id="Checkout" class="inline">
      <h1>Pay Invoice</h1>
      <div class="card-row">
          <span class="visa"></span>
          <span class="mastercard"></span>
          <span class="amex"></span>
          <span class="discover"></span>
      </div>
      <form>
          <div class="form-group">
              <label for="PaymentAmount">Payment amount</label>
              <div class="amount-placeholder">
                  <span>$</span>
                  <span>500.00</span>
              </div>
          </div>
          <div class="form-group">
              <label or="NameOnCard">Name on card</label>
              <input id="NameOnCard" class="form-control" type="text" maxlength="255"></input>
          </div>
          <div class="form-group">
              <label for="CreditCardNumber">Card number</label>
              <input id="CreditCardNumber" class="null card-image form-control" type="text"></input>
          </div>
          <div class="expiry-date-group form-group">
              <label for="ExpiryDate">Expiry date</label>
              <input id="ExpiryDate" class="form-control" type="text" placeholder="MM / YY" maxlength="7"></input>
          </div>
          <div class="security-code-group form-group">
              <label for="SecurityCode">Security code</label>
              <div class="input-container" >
                  <input id="SecurityCode" class="form-control" type="text" ></input>
                  <i id="cvc" class="fa fa-question-circle"></i>
              </div>
              <div class="cvc-preview-container two-card hide">
                  <div class="amex-cvc-preview"></div>
                  <div class="visa-mc-dis-cvc-preview"></div>
              </div>
          </div>
          <div class="zip-code-group form-group">
              <label for="ZIPCode">ZIP/Postal code</label>
              <div class="input-container">
                  <input id="ZIPCode" class="form-control" type="text" maxlength="10"></input>
                  <a tabindex="0" role="button" data-toggle="popover" data-trigger="focus" data-placement="left" data-content="Enter the ZIP/Postal code for your credit card billing address."><i class="fa fa-question-circle"></i></a>
              </div>
          </div>
          <button id="PayButton" class="btn btn-block btn-success submit-button" type="submit">
              <span class="submit-button-lock"></span>
              <span class="align-middle">Pay $500.00</span>
          </button>
      </form>
  </div>
</div>
              
            
!

CSS

              
                body {
  background: #FEF8F8;
}
.amex {
  background: url("data:image/png;base64,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") #fff;
}

.visa {
  background: url("data:image/png;base64,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") #fff;
}

.mastercard {
  background: url("data:image/png;base64,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") #fff;
}

.discover {
  background: url("data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAADAAAAAeCAMAAABdem3zAAAAA3NCSVQICAjb4U/gAAACLlBMVEUAAADQ0NDa2tra2trZ2dnY2Nja2trt7e3t7e3vzbDvzbEBAQECAgIDAwMTExMUFBQWFhYYGBgZGRkeHh4jIyMmJiYnJycpKSksLCwtLS0uLi4wMDAzMzM0NDQ3Nzc6Ojo8PDw/Pz9CQkJDQ0NHR0dJSUlKSkpMTExOTk5PT09RUVFWVlZYWFhcXFxgYGBiYmJjY2Nra2tsbGxtbW1wcHBxcXF0dHR1dXV2dnZ3d3d4eHh8fHx9fX1+fn6AgICBgYGCgoKDg4OLi4uMjIyPj4+VlZWWlpabm5udnZ2enp6fn5+hoaGjo6OoqKirq6usrKyvr6+wsLCysrKzs7O4uLi7u7u8vLy9vb2/v7/AwMDBwcHExMTGxsbHx8fJycnLy8vQ0NDR0dHS0tLU1NTW1tbY2NjZ2dnb29vd3d3f39/h4eHi4uLn5+fo6Ojp6enr6+vs7Ozt7e3v7+/x8fHy8vL1giD1giH1gyP1hCT1iS31ii71izD1jDL2kTv2kjz2kz/2lED2lkP2lkT2l0X2mUn2pmH2pmL3m033n1X3oVf3pF73pV739/f4q2n4q2r4rWz4r3D4r3H4sXT4s3f5uoT5u4b5vov5+fn6xJb6yJ36yqD6zKT6+vr7zqj70a372Ln7+/v83sT838b84Mj84sv848785M/85dD89O78/Pz959X96Nb969z9/f3+8+r+9e7+9u/+9/H++PP++vb++vf+/Pn+/Pr+/fz+/v7////OeAUcAAAAC3RSTlMAGxuq7e7u+vv7+w/+RoMAAAGnSURBVDjLY2BgYmZJJRKwMDMxMDCysS/YSSRYwM7GyMDMsZMEwM7MwLqAFA0LWBlSd5IEUumkwc7A0HPBTuvcTAN13535FuqWJTsXdrdP2+IZuHOnR6iNgYHVDgMDsySEBin3QE2NnWJpKk6x8T1iDsku6UvKSktL+4Kld84RzBb3Co9ZyRPnJYikIXHnAr5ssTR9hYCVIfIg8UmlILBCOMFfa6e4jWvQWh5/e0kUDTuFMsTSpvvI6gUog8QngzVsdDRVC9spbu7st5bbmL8ASUNEipEi0ElRRQEyhYL+K/2Tl5cD1U/cmSMgsXOneHRe3krenSpuCA26ckp2xTu1s2xFZSJ3JqiJqKbvXNrbOWPrzp0m3jt36sjJyS2Q35ms0rNz53wSg3VRI2kaVlc1kKRhVU0pSRoWVZaSpGF2RSkpGjZNAMcM0RoW15aSomE9JOKJ1bB1VnUpCRq2z6srLSVew+ZZyMoJalgzpbq0lGgNG+Z2lGKAplQcxcy6uV3lpVhAKyuWgmzLwqktpTgAJzNaUblt2cz+xnocoLmNiw1YuJJYGAMAEKBGzN/0FVAAAAAASUVORK5CYII=") #fff;
}

.expiry-date-group {
  float: left;
  width: 50%
}

.expiry-date-group input {
  width: calc(100% + 1px);
  border-top-right-radius: 0;
  border-bottom-right-radius: 0;
}

.expiry-date-group input:focus {
  position: relative;
  z-index: 10;
}

.security-code-group {
  float: right;
  width: 50%
}

.security-code-group input {
  border-top-left-radius: 0;
  border-bottom-left-radius: 0;
}

.zip-code-group {
  clear: both;
}

#PayButton {
  outline: 0!important;
  height: 42px;
  font-size: 16px;
  background-color: #54C7C3!important;
  border: none;
}

#PayButton:hover {
  background-color: #6DCECB!important;
}

#PayButton:active {
  background-color: #4FBCB9!important;
}

#PayButton:disabled {
  background: rgba(84, 199, 195, .5)!important;
  color: #FFF!important;
}

.container {
  margin-top: 50px;
}

#Checkout {
  z-index: 100001;
  background: ;
  width: 50%;
  min-width: 300px;
  height: 100%;
  min-height: 100%;
  background: 0 0 #ffffff;
  border-radius: 8px;
  border: 1px solid #dedede;
  margin-left: auto;
  margin-right: auto;
  display: block;
}

#Checkout>h1 {
  margin: 0;
  padding: 20px;
  text-align: center;
  background: #EEF2F4;
  color: #5D6F78;
  font-size: 24px;
  font-weight: 300;
  border-bottom: 1px solid #DEDEDE;
  border-top-left-radius: 8px;
  border-top-right-radius: 8px;
}

#Checkout>form {
  margin: 0 25px 25px;
}

label {
  color: #46545C;
  margin-bottom: 2px;
}

.input-container {
  position: relative;
}

.input-container input {
  padding-right: 25px;
}

.input-container>i, a[role="button"] {
  color: #d3d3d3;
  width: 25px;
  height: 30px;
  line-height: 30px;
  font-size: 16px;
  position: absolute;
  top: 2px;
  right: 2px;
  cursor: pointer;
  text-align: center;
}

.input-container>i:hover, a[role="button"]:hover {
  color: #777;
}
.amount-placeholder {
  font-size: 20px;
  height: 34px;
}

.amount-placeholder>button {
  float: right;
  width: 60px;
}

.amount-placeholder>span {
  line-height: 34px;
}

.card-row {
  text-align: center;
  margin: 20px 25px 10px;
}

.card-row span {
  width: 48px;
  height: 30px;
  margin-right: 3px;
  background-repeat: no-repeat;
  display: inline-block;
  background-size: contain;
}

.card-image {
  background-repeat: no-repeat;
  padding-right: 50px;
  background-position: right 2px center;
  background-size: auto 90%
}

.cvc-preview-container {
  overflow: hidden;
}

.cvc-preview-container.two-card div {
  width: 48%;
  height: 80px;
}

.cvc-preview-container.two-card div.amex-cvc-preview {
  float: right;
}

.cvc-preview-container.two-card div.visa-mc-dis-cvc-preview {
  float: left;
}

.cvc-preview-container div {
  height: 160px;
}

.amex-cvc-preview {
  background: 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}

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}

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  height: 20px;
  margin-top: -2px;
  margin-right: 7px;
  vertical-align: middle;
  background: url("data:image/png;base64,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") center center/contain no-repeat;
  width: 14px;
  display: inline-block;
}

.align-middle {
  vertical-align: middle;
}

input {
  box-shadow: none!important;
}

input:focus {
  border-color: #b0e5e3!important;
  background-color: #EEF9F9!important;
}
              
            
!

JS

              
                $(function () {
  $('[data-toggle="popover"]').popover();
  
  $('#cvc').on('click', function(){
    if ( $('.cvc-preview-container').hasClass('hide') ) {
      $('.cvc-preview-container').removeClass('hide');
    } else {
      $('.cvc-preview-container').addClass('hide');
    }    
  });
  
  $('.cvc-preview-container').on('click', function(){
    $(this).addClass('hide');
  });
});
              
            
!
999px

Console