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{template nheader.html}
<script type="text/javascript">
$(function(){
{if $result_error}
dr_tips("{$result_error}", 3);
{/if}
dr_set_type({intval($data.type)});
});
function dr_set_type(value) {
if (value == 1) {
$("#dr_name").html("{SITE_SCORE}");
$("#dr_value").html("");
} else {
$("#dr_name").html("{SITE_MONEY}");
$("#dr_value").html("元");
}
}
</script>
<div class="row">
<div class="col-md-12">
<!-- BEGIN VALIDATION STATES-->
<!-- BEGIN FORM-->
<form action="" method="post" class="form-horizontal" novalidate="novalidate">
<div class="form-body">
<div class="form-group">
<label class="col-md-2 control-label">付款方式:</label>
<div class="col-md-10">
<div class="radio-list ">
<label class="radio-inline"><input name="data[type]" onclick="dr_set_type(0)" type="radio" value="0" {if !$data.type}checked=""{/if}>{SITE_MONEY}</label>
<label class="radio-inline"><input name="data[type]" onclick="dr_set_type(1)" type="radio" value="1" {if $data.type}checked=""{/if}><label>{SITE_SCORE}</label>
</div>
</div>
</div>
<div class="form-group my0">
<label class="col-md-2 control-label"><span id="dr_name"></span></label>
<div class="col-md-2">
<div class="input-icon ">
<i class="fa fa-rmb"></i>
<input type="text" class="form-control" value="{$data.value}" name="data[value]" placeholder="">
</div>
</div>
<div class="col-md-8">
<div class="form-control-static " id="dr_value">
</div>
</div>
</div>
<div class="form-group my1">
<label class="col-md-2 control-label">收款会员:</label>
<div class="col-md-3">
<div class="input-icon ">
<i class="fa fa-user"></i>
<input type="text" class="form-control" value="{$data.username}" name="data[username]" placeholder="收款会员">
</div>
</div>
</div>
</div>
<div class="form-actions">
<div class="row">
<div class="col-md-offset-2 col-md-3">
<button type="submit" class="mysubmit btn green"><i class="fa fa-rmb"></i> 确认转账</button>
</div>
</div>
</div>
</form>
<!-- END FORM-->
<!-- END VALIDATION STATES-->
</div>
</div>
{template "nfooter.html"}