56 lines
1.8 KiB
PHTML
56 lines
1.8 KiB
PHTML
<?php include '__header.phtml'; ?>
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<h2 class="page-header">Nieuwe overboeking</h2>
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<div class="panel panel-default">
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<div class="panel-body">
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<form method="post" action="" class="form-horizontal">
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<div class="form-group">
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<label for="van" class="col-sm-2 control-label">Van</label>
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<div class="col-sm-10">
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<select name="van" class="form-control">
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<?php
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foreach ($rekeningen as $rekening) {
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echo "<option value=" . $rekening['nr'] . ">" . $rekening['iban'] . "</option>\n";
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}
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?>
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</select>
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</div>
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</div>
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<div class="form-group">
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<label for="naar" class="col-sm-2 control-label">Naar (IBAN)</label>
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<div class="col-sm-10">
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<input name="naar" type="text" class="form-control" placeholder="NL00 INFO 0000 0000 00"></input>
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</div>
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</div>
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<div class="form-group">
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<br/>
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</div>
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<div class="form-group">
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<label for="bedrag" class="col-sm-2 control-label">Bedrag</label>
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<div class="col-sm-10">
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<div class="input-group">
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<div class="input-group-addon">€</div><input class="form-control" name="bedrag" type="decimal" placeholder=""></input>
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</div>
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</div>
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</div>
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<div class="form-group">
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<label for="omschrijving" class="col-sm-2 control-label">Omschrijving (40 tekens)</label>
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<div class="col-sm-10">
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<textarea class="form-control" name="omschrijving" maxlength=40></textarea>
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</div>
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</div>
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<div class="form-group">
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<br/>
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</div>
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<div class="form-group">
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<div class="col-sm-offset-2 col-sm-10">
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<button type="submit" class="btn btn-default">Overboeking bevestigen</button>
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</div>
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</div>
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</form>
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</div>
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</div>
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<?php include '__footer.phtml'; ?>
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