combo/combo/apps/lingo/templates/lingo/combo/self-declared-invoice-payme...

32 lines
1017 B
HTML

{% load i18n %}
{% block cell-content %}
{% if title %}<h2>{{ title }}</h2>{% endif %}
<div>
{% if text %}<p>{{ text|safe }}</p>{% endif %}
<form class="quixote" action="{% url 'lingo-self-invoice' cell_id=cell.id %}">
<div class="widget">
<div class="title">
{% trans 'Invoice Number' %}
<span class="required">*</span>
</div>
<div class="content">
<input type="text" name="invoice-number" required="required">
</div>
</div>
<div class="widget">
<div class="title">
{% trans 'Invoice Amount' %}
<span class="required">*</span>
</div>
<div class="content">
<input type="text" name="invoice-amount" required="required" pattern="[1-9][0-9]*([,\.]?[0-9]+)?">
</div>
</div>
<input type="hidden" name="page_path" value="{{page_path}}">
<div class="buttons">
<button>{% trans "Pay" %}</button>
</div>
</form>
</div>
{% endblock %}