39 lines
1.8 KiB
Smarty
39 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">{$_L['Refill_Account']}</div>
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<div class="panel-body">
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<form class="form-horizontal" method="post" role="form" action="{$_url}prepaid/refill-post">
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<div class="form-group">
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<label class="col-md-2 control-label">{$_L['Select_Account']}</label>
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<div class="col-md-6">
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<select id="personSelect" class="form-control select2" name="id_customer"
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style="width: 100%" data-placeholder="{$_L['Select_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">{$_L['Code_Voucher']}</label>
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<div class="col-md-6">
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<input type="text" class="form-control" id="code" name="code"
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placeholder="{$_L['Enter_Voucher_Code']}">
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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 waves-effect waves-light"
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type="submit">{$_L['Recharge']}</button>
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Or <a href="{$_url}customers/list">{$_L['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"} |