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

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<!-- Display the form validation -->
{if $form_validation}
{ $block->display("core:alert_fields") }
{/if}
<!-- Display the form to collect the input values -->
<form id="voip_prepaid_add" name="voip_prepaid_add" method="post" action="">
{$COOKIE_FORM}
<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=voip_prepaid}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=voip_prepaid}
field_account_id
{/translate}</td>
<td width="65%">
{html_select_account name="voip_prepaid_account_id" default=$VAR.voip_prepaid_account_id}
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=voip_prepaid}
field_product_id
{/translate}</td>
<td width="65%">
{ $list->menu('no', "voip_prepaid_product_id", "product", "sku", $VAR.voip_prepaid_product_id, "", "form_menu") }
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=voip_prepaid}
field_pin
{/translate}</td>
<td width="65%">
<input type="text" name="voip_prepaid_pin" value="{$VAR.voip_prepaid_pin}" {if $voip_prepaid_pin == true}class="form_field_error"{/if}>
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=voip_prepaid}
field_balance
{/translate}</td>
<td width="65%">
<input type="text" name="voip_prepaid_balance" value="{$VAR.voip_prepaid_balance}" {if $voip_prepaid_balance == true}class="form_field_error"{/if}>
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=voip_prepaid}
field_in_use
{/translate}</td>
<td width="65%">
<input type="text" name="voip_prepaid_in_use" value="{$VAR.voip_prepaid_in_use}" {if $voip_prepaid_in_use == true}class="form_field_error"{/if} size="5">
</td>
</tr>
<tr valign="top">
<td width="35%">{translate module=voip_prepaid} field_date_expire {/translate}</td>
<td width="65%">{ $list->calender_add("voip_prepaid_date_expire", $VAR.voip_prepaid_date_expire,"") }
</td>
</tr>
<tr valign="top">
<td></td>
<td><input type="submit" name="Submit" value="{translate}submit{/translate}" class="form_button">
<input type="hidden" name="_page" value="voip_prepaid:view">
<input type="hidden" name="_page_current" value="voip_prepaid:add">
<input type="hidden" name="do[]" value="voip_prepaid:add"></td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</form>