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khosb/themes/default/blocks/charge/add.tpl

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<!-- Display the form validation -->
{if $form_validation}
{ $block->display("core:alert_fields") }
{/if}
<!-- Display the form to collect the input values -->
<form id="charge_add" name="charge_add" method="post" action="">
<table width="100%" border="0" cellspacing="0" cellpadding="0" class="table_background">
<tr>
<td>
<table width="100%" border="0" cellspacing="1" cellpadding="0">
<tr valign="top">
<td width="65%" class="table_heading">
<center>
{translate module=charge}title_add{/translate}
</center>
</td>
</tr>
<tr valign="top">
<td width="65%" class="row1">
<table width="100%" border="0" cellspacing="3" cellpadding="1" class="row1">
<tr valign="top">
<td width="35%">
{translate module=charge}
field_status
{/translate}
</td>
<td width="65%">
{ $list->bool("charge_status", $VAR.charge_status, "form_menu") }
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=charge}
field_sweep_type
{/translate}
</td>
<td width="65%">
<select name="charge_sweep_type" >
<option value="0" {if $VAR.charge_sweep_type == "0"}selected{/if}>Daily</option>
<option value="1" {if $VAR.charge_sweep_type == "1"}selected{/if}>Weekly</option>
<option value="2" {if $VAR.charge_sweep_type == "2"}selected{/if}>Monthly</option>
<option value="3" {if $VAR.charge_sweep_type == "3"}selected{/if}>Quarterly</option>
<option value="4" {if $VAR.charge_sweep_type == "4"}selected{/if}>Semi-anually</option>
<option value="5" {if $VAR.charge_sweep_type == "5"}selected{/if}>Anually</option>
<option value="6" {if $VAR.charge_sweep_type == "6"}selected{/if}>On
Service Rebill</option>
</select>
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=charge}
field_account_id
{/translate}
</td>
<td width="65%">
{html_select_account name="charge_account_id" default=$VAR.charge_account_id}
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=charge}
field_product_id
{/translate}
</td>
<td width="65%">
{if $VAR.charge_product_id == ''}
{ $list->menu("", "charge_product_id", "product", "sku", "all", "form_menu") }
{else}
{ $list->menu("", "charge_product_id", "product", "sku", $VAR.charge_product_id, "form_menu") }
{/if}
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=charge}
field_service_id
{/translate}
</td>
<td width="65%">
<input type="text" name="charge_service_id" value="{$VAR.charge_service_id}" {if $charge_service_id == true}class="form_field_error"{/if}>
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=charge}
field_amount
{/translate}
</td>
<td width="65%">
<input type="text" name="charge_amount" value="{$VAR.charge_amount}" {if $charge_amount == true}class="form_field_error"{/if}>
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=charge}
field_quantity
{/translate}
</td>
<td width="65%">
<input type="text" name="charge_quantity" value="{$VAR.charge_quantity}" {if $charge_quantity == true}class="form_field_error"{/if} size="5">
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=charge}
field_taxable
{/translate}
</td>
<td width="65%">
{ $list->bool("charge_taxable", $VAR.charge_taxable, "form_menu") }
</td>
</tr>
<tr class="row1" valign="top">
<td width="35%">
{translate module=charge}
field_attributes
{/translate}
</td>
<td width="65%">
<input type="text" name="attributes[0][0]" class=form_field size="16"> =
<input type="text" name="attributes[0][1]" class=form_field size="16"> <br>
<input type="text" name="attributes[1][0]" class=form_field size="16"> =
<input type="text" name="attributes[1][1]" class=form_field size="16"> <br>
<input type="text" name="attributes[2][0]" class=form_field size="16"> =
<input type="text" name="attributes[2][1]" class=form_field size="16"> <br>
<input type="text" name="attributes[3][0]" class=form_field size="16"> =
<input type="text" name="attributes[3][1]" class=form_field size="16"> <br>
<input type="text" name="attributes[4][0]" class=form_field size="16"> =
<input type="text" name="attributes[4][1]" class=form_field size="16"> <br>
<input type="text" name="attributes[5][0]" class=form_field size="16"> =
<input type="text" name="attributes[5][1]" class=form_field size="16">
</td>
</tr>
<tr valign="top">
<td width="35%"></td>
<td width="65%">
<input type="submit" name="Submit" value="{translate}submit{/translate}" class="form_button">
<input type="hidden" name="_page" value="charge:view">
<input type="hidden" name="_page_current" value="charge:add">
<input type="hidden" name="do[]" value="charge:add">
<input type="hidden" name="charge_date_orig" value="{$smarty.now}">
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</form>