1 <!-- TMPL_INCLUDE Name="members-top.inc" -->
3 <Center><h3>Rechnung per Hand erstellen</h3></center>
4 <form action="/cgi-bin/koha/maninvoice.pl" method="post">
5 <table cellpadding="2" cellspacing="0" border="0">
6 <input type="hidden" name="bornum" value="<!-- TMPL_VAR NAME="bornum" -->">
7 <tr><td><b>Benutzernummer<b></td><td><!-- TMPL_VAR NAME="bornum" --></td></tr>
8 <tr><td><b>Typ</b></td><Td>
10 <option value="L">Verlorenes Exemplar</option>
11 <option value="F">Mahngebühr</option>
12 <option value="A">Account Management Fee</option>
13 <option value="N">Neuer Ausweis</option>
14 <option value="M">Sundry</option>
15 <option value="REF">Cash Refund</option>
18 <tr><td><b>Mediennummer</b></td><td><input type="text" name="itemnum"></td></tr>
19 <tr><td><b>Beschreibung</b></td><td><input type="text" name="desc" size="50"></td></tr>
20 <tr><td><b>Betrag</b></td><td><input type="text" name="amount"></td></tr>
21 <tr><td><input type="submit" name="add" value="Hinzufügen"></td></tr>
25 <!-- TMPL_INCLUDE Name="members-bottom.inc" -->