2 {%form,formMethodPost=modules.php?module=login&what=payout&payout=$content[payout]%}
3 <table border="0" cellspacing="0" cellpadding="0" width="440" class="table dashed">
5 <td colspan="2" align="center" class="table_header bottom">
6 {--MEMBER_PAYOUT_NOW_TITLE--}
11 <td width="215" height="20" align="right">{--MEMBER_PAYOUT_SELECTED_TYPE--}:</td>
12 <td width="215"><strong>$content[type]</strong></td>
16 <td align="right">{--MEMBER_PAYOUT_MAXIMUM_POSSIBLE--}:</td>
17 <td><strong>$content[max]</strong></td>
21 <td align="right">{--MEMBER_PAYOUT_REQUESTED_AMOUNT--}:</td>
23 <input type="text" class="form_field" name="payout" size="10" maxlength="255" value="$content[max]" />
28 <td align="right">{--MEMBER_PAYOUT_TARGET_ACCOUNT--}:</td>
30 <input type="text" class="form_field" name="account" size="20" maxlength="255" />
35 <td align="right">{--MEMBER_PAYOUT_TARGET_BANK--}:</td>
37 <input type="text" class="form_field" name="bank" ize="20" maxlength="255" />
42 <td align="right">{--MEMBER_PAYOUT_OPTIONAL_PASSWORD--}:</td>
44 <input type="password" class="form_field" name="password" ize="10" maxlength="255" />
49 <td colspan="2" align="center" class="table_footer">
50 <input type="reset" class="form_reset" value="{--CLEAR_FORM--}" />
51 <input type="submit" class="form_submit" name="ok" value="{--MEMBER_PAYOUT_SEND_SUBMIT--}" />
60 {--MEMBER_PAYOUT_MEMBER_NOTICE--}
64 <a href="{%template,GetTermsConditionsLink%}" target="_blank">{--MEMBER_PAYOUT_REMEMBER_TERMS--}</a>