{header}

<div class="content-header row">
	<div class="content-header-left col-md-4 col-12 mb-2">
		<h3 class="content-header-title">{l_title_current}</h3>
	</div>
	<div class="content-header-right col-md-8 col-12">
		<div class="breadcrumbs-top float-md-right">
			<div class="breadcrumb-wrapper mr-1">
				<ol class="breadcrumb">
					<li class="breadcrumb-item">
						<a href="{url_main}administration/partner.php">{l_menu_partners}</a>
					</li>
					<li class="breadcrumb-item active">
						{l_title_current}
					</li>
				</ol>
			</div>
		</div>
	</div>
</div>

{menu_page}

<div class="content-body">

	<div class="alert alert-success border-0 alert-dismissible mb-2-1" role="alert">{l_changes_save}</div>
	<div class="alert alert-danger alert-dismissible mb-2-1" role="alert">{message}</div>

	<div class="row">
		<div class="col-12">
			<div class="card">
				<div class="card-header">
					<h4 class="card-title">{l_title_current}</h4>
                    <a class="heading-elements-toggle"><i class="la la-ellipsis-v font-medium-3"></i></a>
                    <div class="heading-elements">
                        <ul class="list-inline mb-0">
                            <li><a data-action="collapse"><i class="ft-minus"></i></a></li>
                        </ul>
                    </div>
				</div>
				<div class="card-content collapse show">
					<div class="card-body">
						<form action="{url_main}administration/partner_bank.php?cmd=edit&id={partner_id}" method="POST">

						<div class="row">
							<fieldset class="form-group col-md-6">
								<label>{l_bank_name}:</label>
								<input class="form-control" type="text" name="bank_name" value="{bank_name}"/>
							</fieldset>
							<fieldset class="form-group col-md-6">
								<label>{l_bank_phone}:</label>
								<input class="form-control" type="text" name="bank_phone" value="{bank_phone}"/>
							</fieldset>
						</div>
        				<div class="row">
							<fieldset class="form-group col-md-6">
								<label>{l_bank_address_1}:</label>
								<input class="form-control" type="text" name="bank_adress1" value="{bank_adress1}"/>
							</fieldset>
							<fieldset class="form-group col-md-6">
								<label>{l_bank_address_2}:</label>
								<input class="form-control" type="text" name="bank_adress2" value="{bank_adress2}"/>
							</fieldset>
						</div>
						<div class="row">
							<fieldset class="form-group col-md-6">
								<label>{l_bank_city}:</label>
								<input class="form-control" type="text" name="bank_city" value="{bank_city}"/>
							</fieldset>
							<fieldset class="form-group col-md-6">
								<label>{l_bank_state}:</label>
								<input class="form-control" type="text" name="bank_state" value="{bank_state}"/>
							</fieldset>
						</div>

						<div class="row">
							<fieldset class="form-group col-md-6">
								<label>{l_bank_zipcode}:</label>
								<input class="form-control" type="text" name="bank_zip" value="{bank_zip}"/>
							</fieldset>
							<fieldset class="form-group col-md-6">
								<label>{l_bank_country}:</label>
								<input class="form-control" type="text" name="bank_country" value="{bank_country}"/>
							</fieldset>
						</div>
						<div class="row">
							<fieldset class="form-group col-md-6">
								<label>{l_bank_account_number}:</label>
								<input class="form-control" type="text" name="bank_account" value="{bank_account}"/>
							</fieldset>
							<fieldset class="form-group col-md-6">
								<label>{l_aba_routing_code}:</label>
								<input class="form-control" type="text" name="bank_aba" value="{bank_aba}"/>
							</fieldset>
						</div>
						<div class="row">
							<fieldset class="form-group col-md-6">
								<label>{l_bank_swift_code}:</label>
								<input class="form-control" type="text" name="bank_swift" value="{bank_swift}"/>
							</fieldset>
							<fieldset class="form-group col-md-6">
								<label>{l_bank_account_type}:</label>
								<input class="form-control" type="text" name="bank_type" value="{bank_type}"/>
							</fieldset>
						</div>
						<div class="row">
							<fieldset class="form-group col-md-6">
								<label>{l_make_payment}:</label>
								<input class="form-control" type="text" name="bank_to" value="{bank_to}"/>
							</fieldset>
							<fieldset class="form-group col-md-6">
								<label>{l_paypal}:</label>
								<input class="form-control" type="text" name="paypal" value="{paypal}"/>
							</fieldset>
						</div>
						<fieldset class="form-group">
							<label>{l_other_information}:</label>
							<textarea class="form-control h_120" name="other">{other}</textarea>

						</fieldset>
						<fieldset class="form-group">
							<div class="wrap_button">
								<button class="btn btn-primary btn_submit" type="submit">{l_save}</button>
								<div class="button_submit_instruction">{l_or_use_ctrl_s}</div>
							</div>
						</fieldset>
						</form>
					</div>
				</div>
			</div>
		</div>
	</div>
</div>

{footer}