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{{ header }}{{ column_left }}
<div id="content">
<div class="page-header">
<div class="container-fluid">
<div class="pull-right">
<button type="submit" form="form-payment" data-toggle="tooltip" title="{{ button_save }}" class="btn btn-primary"><i class="fa fa-save"></i></button>
<a href="{{ cancel }}" data-toggle="tooltip" title="{{ button_cancel }}" class="btn btn-default"><i class="fa fa-reply"></i></a></div>
<h1>{{ heading_title }}</h1>
<ul class="breadcrumb">
{% for breadcrumb in breadcrumbs %}
<li><a href="{{ breadcrumb.href }}">{{ breadcrumb.text }}</a></li>
{% endfor %}
</ul>
</div>
</div>
<div class="container-fluid"> {% if error_warning %}
<div class="alert alert-danger alert-dismissible"><i class="fa fa-exclamation-circle"></i> {{ error_warning }}
<button type="button" class="close" data-dismiss="alert">×</button>
</div>
{% endif %}
<div class="panel panel-default">
<div class="panel-heading">
<h3 class="panel-title"><i class="fa fa-pencil"></i> {{ text_edit }}</h3>
</div>
<div class="panel-body">
<form action="{{ action }}" method="post" enctype="multipart/form-data" id="form-payment" class="form-horizontal">
<div class="form-group required">
<label class="col-sm-2 control-label" for="input-email">{{ entry_email }}</label>
<div class="col-sm-10">
<input type="text" name="payment_nochex_email" value="{{ payment_nochex_email }}" placeholder="{{ entry_email }}" id="input-email" class="form-control" />
{% if error_email %}
<div class="text-danger">{{ error_email }}</div>
{% endif %} </div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label" for="input-account">{{ entry_account }}</label>
<div class="col-sm-10">
<select name="payment_nochex_account" id="input-account" class="form-control">
{% if payment_nochex_account == 'seller' %}
<option value="seller" selected="selected">{{ text_seller }}</option>
{% else %}
<option value="seller">{{ text_seller }}</option>
{% endif %}
{% if payment_nochex_account == 'merchant' %}
<option value="merchant" selected="selected">{{ text_merchant }}</option>
{% else %}
<option value="merchant">{{ text_merchant }}</option>
{% endif %}
</select>
</div>
</div>
<div class="form-group required">
<label class="col-sm-2 control-label" for="input-merchant">{{ entry_merchant }}</label>
<div class="col-sm-10">
<input type="text" name="payment_nochex_merchant" value="{{ payment_nochex_merchant }}" placeholder="{{ entry_merchant }}" id="input-merchant" class="form-control" />
{% if error_merchant %}
<div class="text-danger">{{ error_merchant }}</div>
{% endif %} </div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label">{{ entry_template }}</label>
<div class="col-sm-10">
<label class="radio-inline"> {% if payment_nochex_template %}
<input type="radio" name="payment_nochex_template" value="1" checked="checked" />
{{ text_yes }}
{% else %}
<input type="radio" name="payment_nochex_template" value="1" />
{{ text_yes }}
{% endif %} </label>
<label class="radio-inline"> {% if not payment_nochex_template %}
<input type="radio" name="payment_nochex_template" value="0" checked="checked" />
{{ text_no }}
{% else %}
<input type="radio" name="payment_nochex_template" value="0" />
{{ text_no }}
{% endif %} </label>
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label">{{ entry_test }}</label>
<div class="col-sm-10">
<label class="radio-inline"> {% if payment_nochex_test %}
<input type="radio" name="payment_nochex_test" value="1" checked="checked" />
{{ text_yes }}
{% else %}
<input type="radio" name="payment_nochex_test" value="1" />
{{ text_yes }}
{% endif %} </label>
<label class="radio-inline"> {% if not payment_nochex_test %}
<input type="radio" name="payment_nochex_test" value="0" checked="checked" />
{{ text_no }}
{% else %}
<input type="radio" name="payment_nochex_test" value="0" />
{{ text_no }}
{% endif %} </label>
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label" for="input-total"><span data-toggle="tooltip" title="{{ help_total }}">{{ entry_total }}</span></label>
<div class="col-sm-10">
<input type="text" name="payment_nochex_total" value="{{ payment_nochex_total }}" placeholder="{{ entry_total }}" id="input-total" class="form-control" />
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label" for="input-order-status">{{ entry_order_status }}</label>
<div class="col-sm-10">
<select name="payment_nochex_order_status_id" id="input-order-status" class="form-control">
{% for order_status in order_statuses %}
{% if order_status.order_status_id == payment_nochex_order_status_id %}
<option value="{{ order_status.order_status_id }}" selected="selected">{{ order_status.name }}</option>
{% else %}
<option value="{{ order_status.order_status_id }}">{{ order_status.name }}</option>
{% endif %}
{% endfor %}
</select>
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label" for="input-geo-zone">{{ entry_geo_zone }}</label>
<div class="col-sm-10">
<select name="payment_nochex_geo_zone_id" id="input-geo-zone" class="form-control">
<option value="0">{{ text_all_zones }}</option>
{% for geo_zone in geo_zones %}
{% if geo_zone.geo_zone_id == payment_nochex_geo_zone_id %}
<option value="{{ geo_zone.geo_zone_id }}" selected="selected">{{ geo_zone.name }}</option>
{% else %}
<option value="{{ geo_zone.geo_zone_id }}">{{ geo_zone.name }}</option>
{% endif %}
{% endfor %}
</select>
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label" for="input-status">{{ entry_status }}</label>
<div class="col-sm-10">
<select name="payment_nochex_status" id="input-status" class="form-control">
{% if payment_nochex_status %}
<option value="1" selected="selected">{{ text_enabled }}</option>
<option value="0">{{ text_disabled }}</option>
{% else %}
<option value="1">{{ text_enabled }}</option>
<option value="0" selected="selected">{{ text_disabled }}</option>
{% endif %}
</select>
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label" for="input-sort-order">{{ entry_sort_order }}</label>
<div class="col-sm-10">
<input type="text" name="payment_nochex_sort_order" value="{{ payment_nochex_sort_order }}" placeholder="{{ entry_sort_order }}" id="input-sort-order" class="form-control" />
</div>
</div>
</form>
</div>
</div>
</div>
</div>
{{ footer }}