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khosb/themes/default/blocks/account_billing/add.tpl
2008-11-26 14:50:40 -08:00

229 lines
11 KiB
Smarty

<!-- Display the form validation -->
{if $form_validation}
{ $block->display("core:alert_fields") }
{/if}
<!-- Display the form to collect the input values -->
<form id="account_billing_add" name="account_billing_add" method="post" action="">
<table width="100%" border="0" cellspacing="0" cellpadding="0" class="table_background">
<tr>
<td>
<table width="100%" border="0" cellspacing="1" cellpadding="0">
<tr valign="top">
<td width="65%" class="table_heading">
<center>
{translate module=account_billing}title_add{/translate}
</center>
</td>
</tr>
<tr valign="top">
<td width="65%" class="row1">
<table width="100%" border="0" cellspacing="3" cellpadding="1" class="row1">
<tr valign="top">
<td width="35%">
{translate module=account_billing}
field_account_id
{/translate}
</td>
<td width="65%">
{html_select_account name="account_billing_accout_id" default=$VAR.account_billing_account_id}
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=account_billing}
field_card_type
{/translate}
</td>
<td width="65%">
<select name="account_billing_card_type" >
<option value="" {if $VAR.account_billing_card_type == ""}selected{/if}></option>
<option value="visa" {if $VAR.account_billing_card_type == "visa"}selected{/if}>
{translate module=checkout}
card_type_visa
{/translate}
</option>
<option value="mc" {if $VAR.account_billing_card_type == "mc"}selected{/if}>
{translate module=checkout}
card_type_mc
{/translate}
</option>
<option value="amex" {if $VAR.account_billing_card_type == "amex"}selected{/if}>
{translate module=checkout}
card_type_amex
{/translate}
</option>
<option value="discover" {if $VAR.account_billing_card_type == "discover"}selected{/if}>
{translate module=checkout}
card_type_discover
{/translate}
</option>
<option value="delta" {if $VAR.account_billing_card_type == "delta"}selected{/if}>
{translate module=checkout}
card_type_delta
{/translate}
</option>
<option value="solo" {if $VAR.account_billing_card_type == "solo"}selected{/if}>
{translate module=checkout}
card_type_solo
{/translate}
</option>
<option value="switch" {if $VAR.account_billing_card_type == "switch"}selected{/if}>
{translate module=checkout}
card_type_switch
{/translate}
</option>
<option value="jcb" {if $VAR.account_billing_card_type == "jcb"}selected{/if}>
{translate module=checkout}
card_type_jcb
{/translate}
</option>
<option value="diners" {if $VAR.account_billing_card_type == "diners"}selected{/if}>
{translate module=checkout}
card_type_diners
{/translate}
</option>
<option value="carteblanche" {if $VAR.account_billing_card_type == "carteblanche"}selected{/if}>
{translate module=checkout}
card_type_carteblanche
{/translate}
</option>
<option value="enroute" {if $VAR.account_billing_card_type == "enroute"}selected{/if}>
{translate module=checkout}
card_type_enroute
{/translate}
</option>
</select>
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=account_billing}
field_card_num
{/translate}
</td>
<td width="65%">
<input type="text" name="account_billing_card_num" value="{$VAR.account_billing_card_num}" {if $account_billing_card_num == true}class="form_field_error"{/if} maxlength="16" size="24">
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=account_billing}
field_card_exp_month
{/translate}
</td>
<td width="65%">
{translate module=account_billing}
field_card_exp_year
{/translate}
</td>
</tr>
<tr valign="top">
<td width="35%">
<select name="account_billing_card_exp_month" >
<option value="01" {if $VAR.account_billing_card_exp_month == "1"}selected{/if}>1
(Jan)</option>
<option value="02" {if $VAR.account_billing_card_exp_month == "2"}selected{/if}>2
(Feb)</option>
<option value="03" {if $VAR.account_billing_card_exp_month == "3"}selected{/if}>3
(Mar)</option>
<option value="04" {if $VAR.account_billing_card_exp_month == "4"}selected{/if}>4
(Apr)</option>
<option value="05" {if $VAR.account_billing_card_exp_month == "5"}selected{/if}>5
(May)</option>
<option value="06" {if $VAR.account_billing_card_exp_month == "6"}selected{/if}>6
(Jun)</option>
<option value="07" {if $VAR.account_billing_card_exp_month == "7"}selected{/if}>7
(Jul)</option>
<option value="08" {if $VAR.account_billing_card_exp_month == "8"}selected{/if}>8
(Aug)</option>
<option value="09" {if $VAR.account_billing_card_exp_month == "9"}selected{/if}>9
(Sep)</option>
<option value="10" {if $VAR.account_billing_card_exp_month == "10"}selected{/if}>10
(Oct)</option>
<option value="11" {if $VAR.account_billing_card_exp_month == "11"}selected{/if}>11
(Nov)</option>
<option value="12" {if $VAR.account_billing_card_exp_month == "12"}selected{/if}>12
(Dec)</option>
</select>
</td>
<td width="65%"> 20
<input type="text" name="account_billing_card_exp_year" value="{$VAR.account_billing_card_exp_year}" size="2" maxlength="2">
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=account_billing}
field_card_start_month
{/translate}
</td>
<td width="65%">
{translate module=account_billing}
field_card_start_year
{/translate}
</td>
</tr>
<tr valign="top">
<td width="35%">
<select name="account_billing_card_start_month" >
<option value="01" {if $VAR.account_billing_card_start_month == "1"}selected{/if}>1
(Jan)</option>
<option value="02" {if $VAR.account_billing_card_start_month == "2"}selected{/if}>2
(Feb)</option>
<option value="03" {if $VAR.account_billing_card_start_month == "3"}selected{/if}>3
(Mar)</option>
<option value="04" {if $VAR.account_billing_card_start_month == "4"}selected{/if}>4
(Apr)</option>
<option value="05" {if $VAR.account_billing_card_start_month == "5"}selected{/if}>5
(May)</option>
<option value="06" {if $VAR.account_billing_card_start_month == "6"}selected{/if}>6
(Jun)</option>
<option value="07" {if $VAR.account_billing_card_start_month == "7"}selected{/if}>7
(Jul)</option>
<option value="08" {if $VAR.account_billing_card_start_month == "8"}selected{/if}>8
(Aug)</option>
<option value="09" {if $VAR.account_billing_card_start_month == "9"}selected{/if}>9
(Sep)</option>
<option value="10" {if $VAR.account_billing_card_start_month == "10"}selected{/if}>10
(Oct)</option>
<option value="11" {if $VAR.account_billing_card_start_month == "11"}selected{/if}>11
(Nov)</option>
<option value="12" {if $VAR.account_billing_card_start_month == "12"}selected{/if}>12
(Dec)</option>
</select>
</td>
<td width="65%"> 20
<input type="text" name="account_billing_card_start_year" value="{$VAR.account_billing_card_start_year}" size="2" maxlength="2">
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=account_billing}
field_checkout_plugin_id
{/translate}
</td>
<td width="65%">
{ $list->menu("", "account_billing_checkout_plugin_id", "checkout", "name", $VAR.account_billing_checkout_plugin_id, "form_field") }
</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="account_billing:view">
<input type="hidden" name="_page_current" value="account_billing:add">
<input type="hidden" name="do[]" value="account_billing:add">
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</form>