46 lines
2.1 KiB
Cheetah
46 lines
2.1 KiB
Cheetah
<!-- TMPL_INCLUDE NAME="members-top.inc" -->
|
|
|
|
<H1>替 <!-- TMPL_VAR name="firstname" --> <!-- TMPL_VAR name="surname" --> 繳交罰款</H1><P>
|
|
<center>
|
|
<p>
|
|
<form action=/cgi-bin/koha/pay.pl method=post>
|
|
<TABLE CELLSPACING=0 CELLPADDING=5 border=1 >
|
|
<TR VALIGN=TOP>
|
|
<td bgcolor="#99cc33" background="/images/background-mem.gif" colspan=4><B>罰款及費用</B></TD>
|
|
<td bgcolor="#99cc33" background="/images/background-mem.gif" colspan=4><B>欠款額</B></TD>
|
|
</TR>
|
|
<input type="hidden" name="bornum" value="<!-- TMPL_VAR name="bornum" -->">
|
|
<!-- TMPL_LOOP name="loop_pay" -->
|
|
<tr VALIGN=TOP >
|
|
<TD><input type=radio name="payfine<!-- TMPL_VAR name="i" -->" value="no" checked>未付 <input type=radio name="payfine<!-- TMPL_VAR name="i" -->" value="yes">付款 <input type=radio name="payfine<!-- TMPL_VAR name="i" -->" value="wo">註銷
|
|
<input type=hidden name="itemnumber<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="itemnumber" -->">
|
|
<input type=hidden name="accounttype<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="accounttype" -->">
|
|
<input type=hidden name="amount<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="amount'}" -->">
|
|
<input type=hidden name="out<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="amountoutstanding" -->">
|
|
<input type=hidden name="bornum<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="bornum" -->">
|
|
<input type=hidden name="accountno<!-- TMPL_VAR name="i" -->" value="<!-- TMPL_VAR name="accountno" -->">
|
|
</td>
|
|
<TD><!-- TMPL_VAR name="description" --> <!-- TMPL_VAR name="title" --></td>
|
|
<TD><!-- TMPL_VAR name="accounttype" --></td>
|
|
<td><!-- TMPL_VAR name="amount" --></td>
|
|
<TD><!-- TMPL_VAR name="amountoutstanding" --></td>
|
|
</tr>
|
|
<!-- /TMPL_LOOP -->
|
|
<tr VALIGN=TOP >
|
|
<TD colspan=4 align=right><b>共欠</b></td>
|
|
<TD><b><!-- TMPL_VAR name="total" --></b></td>
|
|
</tr>
|
|
<tr VALIGN=TOP >
|
|
<TD colspan=5 align=right>
|
|
<input type="submit" name="submit" value="繳交" class="button"></td>
|
|
</tr>
|
|
</table>
|
|
</form>
|
|
<br clear=all>
|
|
<p> </p>
|
|
|
|
<br>
|
|
<a href="moremember.pl?bornum=<!-- TMPL_VAR name="bornum" -->">返回</a>至讀者記錄
|
|
|
|
<!-- TMPL_INCLUDE NAME="members-bottom.inc" -->
|
|
|