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/themes/default/blocks/account_billing/add.tpl

https://github.com/axxtel/agilebill
Smarty Template | 269 lines | 265 code | 4 blank | 0 comment | 38 complexity | 6799663c6b90c297d44255fcc45491b4 MD5 | raw file
    

  1. 

  2. 

  3. <!-- Display the form validation -->
    4. 

  4. {if $form_validation}
    5. 

  5. 	{ $block->display("core:alert_fields") }
    6. 

  6. {/if}
    7. 

  7. 

  8. <!-- Display the form to collect the input values -->
    9. 

  9. <form id="account_billing_add" name="account_billing_add" method="post" action="">
    10. 

  10. 

  11.   <table width="100%" border="0" cellspacing="0" cellpadding="0" class="table_background">
    12. 

  12.     <tr>
    13. 

  13.     <td>
    14. 

  14.       <table width="100%" border="0" cellspacing="1" cellpadding="0">
    15. 

  15.         <tr valign="top">
    16. 

  16.           <td width="65%" class="table_heading">
    17. 

  17.             <center>
    18. 

  18.               {translate module=account_billing}title_add{/translate}
    19. 

  19.             </center>
    20. 

  20.           </td>
    21. 

  21.         </tr>
    22. 

  22.         <tr valign="top">
    23. 

  23.           <td width="65%" class="row1">
    24. 

  24.               <table width="100%" border="0" cellspacing="3" cellpadding="1" class="row1">
    25. 

  25.                 <tr valign="top"> 
    26. 

  26.                   <td width="35%"> 
    27. 

  27.                     {translate module=account_billing}
    28. 

  28.                     field_account_id 
    29. 

  29.                     {/translate}
    30. 

  30.                   </td>
    31. 

  31.                   <td width="65%"> 
    32. 

  32.                     {html_select_account name="account_billing_accout_id" default=$VAR.account_billing_account_id}
    33. 

  33.                   </td>
    34. 

  34.                 </tr>
    35. 

  35.                 <tr valign="top"> 
    36. 

  36.                   <td width="35%"> 
    37. 

  37.                     {translate module=account_billing}
    38. 

  38.                     field_card_type 
    39. 

  39.                     {/translate}
    40. 

  40.                   </td>
    41. 

  41.                   <td width="65%"> 
    42. 

  42.                     <select name="account_billing_card_type" >
    43. 

  43.                       <option value="" {if $VAR.account_billing_card_type == ""}selected{/if}></option>
    44. 

  44.                       <option value="visa" {if $VAR.account_billing_card_type == "visa"}selected{/if}> 
    45. 

  45.                       {translate module=checkout}
    46. 

  46.                       card_type_visa 
    47. 

  47.                       {/translate}
    48. 

  48.                       </option>
    49. 

  49.                       <option value="mc" {if $VAR.account_billing_card_type == "mc"}selected{/if}> 
    50. 

  50.                       {translate module=checkout}
    51. 

  51.                       card_type_mc 
    52. 

  52.                       {/translate}
    53. 

  53.                       </option>
    54. 

  54.                       <option value="amex" {if $VAR.account_billing_card_type == "amex"}selected{/if}> 
    55. 

  55.                       {translate module=checkout}
    56. 

  56.                       card_type_amex 
    57. 

  57.                       {/translate}
    58. 

  58.                       </option>
    59. 

  59.                       <option value="discover" {if $VAR.account_billing_card_type == "discover"}selected{/if}> 
    60. 

  60.                       {translate module=checkout}
    61. 

  61.                       card_type_discover 
    62. 

  62.                       {/translate}
    63. 

  63.                       </option>
    64. 

  64.                       <option value="delta" {if $VAR.account_billing_card_type == "delta"}selected{/if}> 
    65. 

  65.                       {translate module=checkout}
    66. 

  66.                       card_type_delta 
    67. 

  67.                       {/translate}
    68. 

  68.                       </option>
    69. 

  69.                       <option value="solo" {if $VAR.account_billing_card_type == "solo"}selected{/if}> 
    70. 

  70.                       {translate module=checkout}
    71. 

  71.                       card_type_solo 
    72. 

  72.                       {/translate}
    73. 

  73.                       </option>
    74. 

  74.                       <option value="switch" {if $VAR.account_billing_card_type == "switch"}selected{/if}> 
    75. 

  75.                       {translate module=checkout}
    76. 

  76.                       card_type_switch 
    77. 

  77.                       {/translate}
    78. 

  78.                       </option>
    79. 

  79.                       <option value="jcb" {if $VAR.account_billing_card_type == "jcb"}selected{/if}> 
    80. 

  80.                       {translate module=checkout}
    81. 

  81.                       card_type_jcb 
    82. 

  82.                       {/translate}
    83. 

  83.                       </option>
    84. 

  84.                       <option value="diners" {if $VAR.account_billing_card_type == "diners"}selected{/if}> 
    85. 

  85.                       {translate module=checkout}
    86. 

  86.                       card_type_diners 
    87. 

  87.                       {/translate}
    88. 

  88.                       </option>
    89. 

  89.                       <option value="carteblanche" {if $VAR.account_billing_card_type == "carteblanche"}selected{/if}> 
    90. 

  90.                       {translate module=checkout}
    91. 

  91.                       card_type_carteblanche 
    92. 

  92.                       {/translate}
    93. 

  93.                       </option>
    94. 

  94.                       <option value="enroute" {if $VAR.account_billing_card_type == "enroute"}selected{/if}> 
    95. 

  95.                       {translate module=checkout}
    96. 

  96.                       card_type_enroute 
    97. 

  97.                       {/translate}
    98. 

  98.                       </option>
    99. 

  99.                     </select>
    100. 

  100.                   </td>
    101. 

  101.                 </tr>
    102. 

  102.                 <tr valign="top"> 
    103. 

  103.                   <td width="35%"> 
    104. 

  104.                     {translate module=account_billing}
    105. 

  105.                     field_card_num 
    106. 

  106.                     {/translate}
    107. 

  107.                   </td>
    108. 

  108.                   <td width="65%"> 
    109. 

  109.                     <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">
    110. 

  110.                   </td>
    111. 

  111.                 </tr>
    112. 

  112.                 <tr valign="top"> 
    113. 

  113.                   <td width="35%"> 
    114. 

  114.                     {translate module=account_billing}
    115. 

  115.                     field_card_exp_month 
    116. 

  116.                     {/translate}
    117. 

  117.                   </td>
    118. 

  118.                   <td width="65%"> 
    119. 

  119.                     {translate module=account_billing}
    120. 

  120.                     field_card_exp_year 
    121. 

  121.                     {/translate}
    122. 

  122.                   </td>
    123. 

  123.                 </tr>
    124. 

  124.                 <tr valign="top"> 
    125. 

  125.                   <td width="35%"> 
    126. 

  126.                     <select name="account_billing_card_exp_month" >
    127. 

  127.                       <option value="01" {if $VAR.account_billing_card_exp_month == "1"}selected{/if}>1 
    128. 

  128.                       (Jan)</option>
    129. 

  129.                       <option value="02" {if $VAR.account_billing_card_exp_month == "2"}selected{/if}>2 
    130. 

  130.                       (Feb)</option>
    131. 

  131.                       <option value="03" {if $VAR.account_billing_card_exp_month == "3"}selected{/if}>3 
    132. 

  132.                       (Mar)</option>
    133. 

  133.                       <option value="04" {if $VAR.account_billing_card_exp_month == "4"}selected{/if}>4 
    134. 

  134.                       (Apr)</option>
    135. 

  135.                       <option value="05" {if $VAR.account_billing_card_exp_month == "5"}selected{/if}>5 
    136. 

  136.                       (May)</option>
    137. 

  137.                       <option value="06" {if $VAR.account_billing_card_exp_month == "6"}selected{/if}>6 
    138. 

  138.                       (Jun)</option>
    139. 

  139.                       <option value="07" {if $VAR.account_billing_card_exp_month == "7"}selected{/if}>7 
    140. 

  140.                       (Jul)</option>
    141. 

  141.                       <option value="08" {if $VAR.account_billing_card_exp_month == "8"}selected{/if}>8 
    142. 

  142.                       (Aug)</option>
    143. 

  143.                       <option value="09" {if $VAR.account_billing_card_exp_month == "9"}selected{/if}>9 
    144. 

  144.                       (Sep)</option>
    145. 

  145.                       <option value="10" {if $VAR.account_billing_card_exp_month == "10"}selected{/if}>10 
    146. 

  146.                       (Oct)</option>
    147. 

  147.                       <option value="11" {if $VAR.account_billing_card_exp_month == "11"}selected{/if}>11 
    148. 

  148.                       (Nov)</option>
    149. 

  149.                       <option value="12" {if $VAR.account_billing_card_exp_month == "12"}selected{/if}>12 
    150. 

  150.                       (Dec)</option>
    151. 

  151.                     </select>
    152. 

  152.                   </td>
    153. 

  153.                   <td width="65%"> 20 
    154. 

  154.                     <input type="text" name="account_billing_card_exp_year" value="{$VAR.account_billing_card_exp_year}"  size="2" maxlength="2">
    155. 

  155.                     </td>
    156. 

  156.                 </tr>
    157. 

  157.                 <tr valign="top"> 
    158. 

  158.                   <td width="35%"> 
    159. 

  159.                     {translate module=account_billing}
    160. 

  160.                     field_card_start_month 
    161. 

  161.                     {/translate}
    162. 

  162.                   </td>
    163. 

  163.                   <td width="65%"> 
    164. 

  164.                     {translate module=account_billing}
    165. 

  165.                     field_card_start_year 
    166. 

  166.                     {/translate}
    167. 

  167.                   </td>
    168. 

  168.                 </tr>
    169. 

  169.                 <tr valign="top"> 
    170. 

  170.                   <td width="35%"> 
    171. 

  171.                     <select name="account_billing_card_start_month" >
    172. 

  172.                       <option value="01" {if $VAR.account_billing_card_start_month == "1"}selected{/if}>1 
    173. 

  173.                       (Jan)</option>
    174. 

  174.                       <option value="02" {if $VAR.account_billing_card_start_month == "2"}selected{/if}>2 
    175. 

  175.                       (Feb)</option>
    176. 

  176.                       <option value="03" {if $VAR.account_billing_card_start_month == "3"}selected{/if}>3 
    177. 

  177.                       (Mar)</option>
    178. 

  178.                       <option value="04" {if $VAR.account_billing_card_start_month == "4"}selected{/if}>4 
    179. 

  179.                       (Apr)</option>
    180. 

  180.                       <option value="05" {if $VAR.account_billing_card_start_month == "5"}selected{/if}>5 
    181. 

  181.                       (May)</option>
    182. 

  182.                       <option value="06" {if $VAR.account_billing_card_start_month == "6"}selected{/if}>6 
    183. 

  183.                       (Jun)</option>
    184. 

  184.                       <option value="07" {if $VAR.account_billing_card_start_month == "7"}selected{/if}>7 
    185. 

  185.                       (Jul)</option>
    186. 

  186.                       <option value="08" {if $VAR.account_billing_card_start_month == "8"}selected{/if}>8 
    187. 

  187.                       (Aug)</option>
    188. 

  188.                       <option value="09" {if $VAR.account_billing_card_start_month == "9"}selected{/if}>9 
    189. 

  189.                       (Sep)</option>
    190. 

  190.                       <option value="10" {if $VAR.account_billing_card_start_month == "10"}selected{/if}>10 
    191. 

  191.                       (Oct)</option>
    192. 

  192.                       <option value="11" {if $VAR.account_billing_card_start_month == "11"}selected{/if}>11 
    193. 

  193.                       (Nov)</option>
    194. 

  194.                       <option value="12" {if $VAR.account_billing_card_start_month == "12"}selected{/if}>12 
    195. 

  195.                       (Dec)</option>
    196. 

  196.                     </select>
    197. 

  197.                   </td>
    198. 

  198.                   <td width="65%"> 20 
    199. 

  199.                     <input type="text" name="account_billing_card_start_year" value="{$VAR.account_billing_card_start_year}"  size="2" maxlength="2">
    200. 

  200.                     </td>
    201. 

  201.                 </tr>
    202. 

  202. 				<tr>
    203. 

  203. 					<td width="17%">{translate module=account} field_first_name {/translate}{if $VAR.first_name_error}<font color="#FF0000">*</font>{/if}</td>
    204. 

  204. 					<td width="17%"><input type="text" name="checkout_plugin_data[first_name]"  value="{$VAR.first_name}" size="12"></td>
    205. 

  205. 				<tr>
    206. 

  206. 					<td width="16%">{translate module=account} field_last_name {/translate}{if $VAR.last_name_error}<font color="#FF0000">*</font>{/if}</td>
    207. 

  207. 					<td width="16%"><input type="text" name="checkout_plugin_data[last_name]"  value="{$VAR.last_name}" size="12"></td>
    208. 

  208. 				</tr>
    209. 

  209. 				<tr>
    210. 

  210. 					<td width="17%">{translate module=account} field_company {/translate}</td>
    211. 

  211. 					<td width="17%"><input type="text" name="checkout_plugin_data[company]"  value="{$VAR.company}" size="20"></td>
    212. 

  212. 				</tr>
    213. 

  213. 				<tr>
    214. 

  214. 					<td width="17%">{translate module=account} field_address1 {/translate}{if $VAR.address1_error}<font color="#FF0000">*</font>{/if}</td>
    215. 

  215. 					<td width="17%"><input type="text" name="checkout_plugin_data[address1]"  value="{$VAR.address1}" size="12"></td>
    216. 

  216. 				</tr>
    217. 

  217. 				<tr>
    218. 

  218. 					<td width="16%">{translate module=account} field_address2{/translate}</td>
    219. 

  219. 					<td width="16%"><input type="text" name="checkout_plugin_data[address2]"  value="{$VAR.address2}" size="12"></td>
    220. 

  220. 				</tr>
    221. 

  221. 				<tr>
    222. 

  222. 					<td width="17%">{translate module=account} field_city {/translate}</td>
    223. 

  223. 					<td width="17%"><input type="text" name="checkout_plugin_data[city]"  value="{$VAR.city}" size="20"></td>
    224. 

  224. 				</tr>
    225. 

  225. 				<tr>
    226. 

  226. 					<td width="17%">{translate module=account} field_state {/translate}{if $VAR.state_error}<font color="#FF0000">*</font>{/if}</td>
    227. 

  227. 					<td width="17%"><input type="text" name="checkout_plugin_data[state]"  value="{$VAR.state}" size="12"></td>
    228. 

  228. 				</tr>
    229. 

  229. 				<tr>
    230. 

  230. 					<td width="16%">{translate module=account} field_zip{/translate}{if $VAR.zip_error}<font color="#FF0000">*</font>{/if}</td>
    231. 

  231. 					<td width="16%"><input type="text" name="checkout_plugin_data[zip]"  value="{$VAR.zip}" size="12"></td>
    232. 

  232. 				</tr>
    233. 

  233. 				<tr>
    234. 

  234. 					<td width="17%">{translate module=account} field_country_id{/translate}</td>
    235. 

  235. 					<td width="17%">
    236. 

  236. 						{if $VAR.country_id != ""}
    237. 

  237. 						{ $list->menu("no", "checkout_plugin_data[country_id]", "country", "name", $VAR.country_id, "") }
    238. 

  238. 						{else}
    239. 

  239. 						{ $list->menu("no", "checkout_plugin_data[country_id]", "country", "name", $smarty.const.DEFAULT_COUNTRY, "") }
    240. 

  240. 						{/if}
    241. 

  241. 					</td>
    242. 

  242. 				</tr>
    243. 

  243.                 <tr valign="top"> 
    244. 

  244.                   <td width="35%"> 
    245. 

  245.                     {translate module=account_billing}
    246. 

  246.                     field_checkout_plugin_id 
    247. 

  247.                     {/translate}
    248. 

  248.                   </td>
    249. 

  249.                   <td width="65%"> 
    250. 

  250.                     { $list->menu("", "account_billing_checkout_plugin_id", "checkout", "name", $VAR.account_billing_checkout_plugin_id, "form_field") }
    251. 

  251.                   </td>
    252. 

  252.                 </tr>
    253. 

  253.                 <tr valign="top"> 
    254. 

  254.                   <td width="35%"></td>
    255. 

  255.                   <td width="65%"> 
    256. 

  256.                     <input type="submit" name="Submit" value="{translate}submit{/translate}" class="form_button">
    257. 

  257.                     <input type="hidden" name="_page" value="account_billing:view">
    258. 

  258.                     <input type="hidden" name="_page_current" value="account_billing:add">
    259. 

  259.                     <input type="hidden" name="do[]" value="account_billing:add">
    260. 

  260.                   </td>
    261. 

  261.                 </tr>
    262. 

  262.               </table>
    263. 

  263.               </td>
    264. 

  264.           </tr>
    265. 

  265.         </table>
    266. 

  266.       </td>
    267. 

  267.     </tr>
    268. 

  268.   </table>
    269. 

  269.   </form>
    270. 

  270.