templates/de/html/member/member_payout_form.tpl

   1 <form action="{!URL!}/modules.php?module=login&amp;what=payout&amp;payout=$_GET[payout]" method="POST" style="margin-bottom: 0px">
   2 <table border="0" cellspacing="0" cellpadding="0" width="440" class="member_table dashed">
   3         <tr>
   4                 <td colspan="3" align="center" class="member_title2 bottom2"
   5                         height="30"><strong>{--PAYOUT_NOW_TITLE--}</strong></td>
   6         </tr>
   7         <tr>
   8                 <td colspan="3" height="3" class="seperator">&nbsp;</td>
   9         </tr>
  10         <tr>
  11                 <td width="215" height="20" align="right">{--PAYOUT_SELECTED_TYPE--}:</td>
  12                 <td width="10" class="seperator">&nbsp;</td>
  13                 <td width="215"><strong>{--PAYOUT_TYPE_VALUE--}</strong></td>
  14         </tr>
  15         <tr>
  16                 <td height="25" align="right">{--PAYOUT_MAX_PAYOUT--}:</td>
  17                 <td class="seperator" width="10">&nbsp;</td>
  18                 <td><strong>{--PAYOUT_MAX_VALUE--}</strong></td>
  19         </tr>
  20         <tr>
  21                 <td height="25" align="right">{--PAYOUT_WANT_PAYOUT--}:</td>
  22                 <td class="seperator" width="10">&nbsp;</td>
  23                 <td><input type="text" name="payout" class="member_normal"
  24                         size="10" maxlength="255" value="{--PAYOUT_MAX_VALUE!}"></strong></td>
  25         </tr>
  26         <tr>
  27                 <td height="25" align="right">{--PAYOUT_TARGET_ACCOUNT--}:</td>
  28                 <td class="seperator" width="10">&nbsp;</td>
  29                 <td><input type="text" name="account" class="member_normal"
  30                         size="20" maxlength="255"></strong></td>
  31         </tr>
  32         <tr>
  33                 <td height="25" align="right">{--PAYOUT_TARGET_BANK--}:</td>
  34                 <td class="seperator" width="10">&nbsp;</td>
  35                 <td><input type="text" name="bank" class="member_normal"
  36                         size="20" maxlength="255"></strong></td>
  37         </tr>
  38         <tr>
  39                 <td height="25" align="right">{--PAYOUT_OPTIONAL_PASSWORD--}:</td>
  40                 <td class="seperator" width="10">&nbsp;</td>
  41                 <td><input type="password" name="pass" class="member_normal"
  42                         size="10" maxlength="255"></strong></td>
  43         </tr>
  44         <tr>
  45                 <td colspan="3" height="3" class="seperator bottom2">&nbsp;</td>
  46         </tr>
  47         <tr>
  48                 <td colspan="3" align="center" class="member_footer"><input
  49                         type="reset" class="member_reset" value="{--CLEAR_FORM--}" />&nbsp;<input
  50                         type="submit" name="ok" class="member_submit"
  51                         value="{--PAYOUT_SEND_NOW--}" /></td>
  52         </tr>
  53 </table>
  54 <br />
  55 <div class="member_note"> {--PAYOUT_MEMBER_NOTE--}<br />
  56 <br />
  57 <a href="{!URL!}/agb.php" target="_blank">{--PAYOUT_REMEMBER_TERMS--}</a>
  58 </strong></form>