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Current File : /home/gltevjme/ideyshare.name.ng/app/views/admin/ajax/payment_manage_add_form.html.twig
<form id="editFileFormInner" class="form-horizontal form-label-left input_mask">
    <div class="x_panel">
        <div class="x_content">
            <div class="x_title">
                <h2>Log Payment:</h2>
                <div class="clearfix"></div>
            </div>
            <p>Use the form below to add an entry into the payments log. Note: This will not upgrade users, youll need to manually do this via the edit user page.</p>
            <div class="form-group">
                <label class="control-label col-md-3 col-sm-3 col-xs-12">User:</label>
                <div class="col-md-9 col-sm-9 col-xs-12">
                    <select name="user_id" id="user_id" class="form-control">

                        <option value="">- select -</option>
                        {% for user in users %}
                            <option value="{{ user['id'] }}">{{ user['username'] }} ({{ user['email'] }})</option>
                        {% endfor %}
                    </select>
                </div>
            </div>
            <div class="form-group">
                <label class="control-label col-md-3 col-sm-3 col-xs-12">Payment Date/Time:</label>
                <div class="col-md-5 col-sm-5 col-xs-12">
                    <input name="payment_date" id="payment_date" type="text" value="{{ payment_date }}" class="form-control" placeholder="{{ payment_date }}"/>
                </div>
            </div>
            <div class="form-group">
                <label class="control-label col-md-3 col-sm-3 col-xs-12">Payment Amount:</label>
                <div class="col-md-5 col-sm-5 col-xs-12">
                    <div class="input-group">
                        <span class="input-group-addon">{{ SITE_CONFIG_COST_CURRENCY_SYMBOL }}</span>
                        <input name="payment_amount" id="payment_amount" type="text" class="form-control" placeholder="0.00"/>
                    </div>
                </div>
            </div>
            <div class="form-group">
                <label class="control-label col-md-3 col-sm-3 col-xs-12">Description:</label>
                <div class="col-md-9 col-sm-9 col-xs-12">
                    <input name="description" id="description" type="text" value="{{ description }}" class="form-control"/>
                </div>
            </div>
            <div class="form-group">
                <label class="control-label col-md-3 col-sm-3 col-xs-12">Payment Method:</label>
                <div class="col-md-5 col-sm-5 col-xs-12">
                    <select name="payment_method" id="payment_method" class="form-control">
                        {% for paymentMethod in paymentMethods %}
                            <option value="{{ paymentMethod }}"{{ paymentMethod == payment_method?' SELECTED':'' }}>{{ paymentMethod }}</option>
                        {% endfor %}
                    </select>
                </div>
            </div>
            <div class="form-group">
                <label class="control-label col-md-3 col-sm-3 col-xs-12">Additional Notes:</label>
                <div class="col-md-9 col-sm-9 col-xs-12">
                    <textarea name="notes" id="notes" class="form-control"></textarea>
                </div>
            </div>
        </div>
    </div>
</form>

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