40 lines
1.8 KiB
Smarty
40 lines
1.8 KiB
Smarty
{include file="sections/header.tpl"}
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<div class="row">
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<div class="col-sm-12 col-md-12">
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<div class="panel panel-primary panel-hovered panel-stacked mb30">
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<div class="panel-heading">{Lang::T('Refill Account')}</div>
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<div class="panel-body">
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<form class="form-horizontal" method="post" role="form" action="{$_url}plan/refill-post">
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<div class="form-group">
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<label class="col-md-2 control-label">{Lang::T('Select Account')}</label>
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<div class="col-md-6">
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<select id="personSelect" class="form-control select2" name="id_customer"
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style="width: 100%" data-placeholder="{Lang::T('Select a customer')}...">
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</select>
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</div>
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</div>
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<div class="form-group">
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<label class="col-md-2 control-label">{Lang::T('Code Voucher')}</label>
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<div class="col-md-6">
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<input type="text" class="form-control" id="code" name="code"
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placeholder="{Lang::T('Enter voucher code here')}">
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</div>
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</div>
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<div class="form-group">
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<div class="col-lg-offset-2 col-lg-10">
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<button class="btn btn-success" onclick="return ask(this, 'Continue the Refill process?')"
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type="submit">{Lang::T('Recharge')}</button>
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Or <a href="{$_url}customers/list">{Lang::T('Cancel')}</a>
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</div>
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</div>
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</form>
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</div>
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</div>
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</div>
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</div>
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{include file="sections/footer.tpl"}
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