+<% mt('Payment') |h %>
+<% ntable("#cccccc", 2) %>
+
+% if ( $FS::CurrentUser::CurrentUser->access_right('Backdate payment') ) {
+<TR>
+ <TD ALIGN="right"><% mt('Date') |h %></TD>
+ <TD COLSPAN=2>
+ <INPUT TYPE="text" NAME="_date" ID="_date_text" VALUE="<% time2str($date_format.' %r',$_date) %>">
+ <IMG SRC="../images/calendar.png" ID="_date_button" STYLE="cursor: pointer" TITLE="<% mt('Select date') |h %>">
+ </TD>
+</TR>
+
+<SCRIPT TYPE="text/javascript">
+ Calendar.setup({
+ inputField: "_date_text",
+ ifFormat: "<% $date_format %>",
+ button: "_date_button",
+ align: "BR"
+ });
+</SCRIPT>
+% }
+% else {
+<TR>
+ <TD ALIGN="right"><% mt('Date') |h %></TD>
+ <TD COLSPAN=2>
+ <% time2str($date_format.' %r',$_date) %>
+ </TD>
+</TR>
+% }
+
+<TR>
+ <TD ALIGN="right"><% mt('Amount') |h %></TD>
+ <TD BGCOLOR="#ffffff" ALIGN="right"><% $money_char %></TD>
+ <TD><INPUT TYPE="text" NAME="paid" ID="paid" VALUE="<% $paid %>" SIZE=8 MAXLENGTH=9> <% mt('by') |h %> <B><% mt(FS::payby->payname($payby)) |h %></B></TD>
+</TR>
+
+ <& /elements/tr-select-discount_term.html,
+ 'custnum' => $custnum,
+ 'amount_id' => 'paid',
+ &>
+
+% if ( $payby eq 'BILL' ) {
+ <TR>
+ <TD ALIGN="right"><% mt('Check #') |h %></TD>
+ <TD COLSPAN=2><INPUT TYPE="text" NAME="payinfo" VALUE="<% $payinfo %>" SIZE=10></TD>
+ </TR>
+% }
+% elsif ( $payby eq 'CASH' and $conf->exists('require_cash_deposit_info') ) {
+ <TR>
+ <TD ALIGN="right"><% mt('Bank') |h %></TD>
+ <TD COLSPAN=3><INPUT TYPE="text" NAME="bank" VALUE="<% $cgi->param('bank') %>"></TD>
+ </TR>
+ <TR>
+ <TD ALIGN="right"><% mt('Check #') |h %></TD>
+ <TD COLSPAN=2><INPUT TYPE="text" NAME="payinfo" VALUE="<% $payinfo %>" SIZE=10></TD>
+ </TR>
+ <TR>
+ <TD ALIGN="right"><% mt('Teller #') |h %></TD>
+ <TD COLSPAN=2><INPUT TYPE="text" NAME="teller" VALUE="<% $cgi->param('teller') %>" SIZE=10></TD>
+ </TR>
+ <TR>
+ <TD ALIGN="right"><% mt('Depositor') |h %></TD>
+ <TD COLSPAN=3><INPUT TYPE="text" NAME="depositor" VALUE="<% $cgi->param('depositor') %>"></TD>
+ </TR>
+ <TR>
+ <TD ALIGN="right"><% mt('Account #') |h %></TD>
+ <TD COLSPAN=2><INPUT TYPE="text" NAME="account" VALUE="<% $cgi->param('account') %>" SIZE=18></TD>
+ </TR>
+% }
+
+<TR>
+% if ( $link eq 'custnum' || $link eq 'popup' ) {
+
+ <TD ALIGN="right"><% mt('Auto-apply to invoices') |h %></TD>
+ <TD COLSPAN=2>
+ <SELECT NAME="apply">
+ <OPTION VALUE="yes" SELECTED><% mt('yes') |h %>
+ <OPTION><% mt('no') |h %></SELECT>
+ </TD>
+
+% } elsif ( $link eq 'invnum' ) {
+
+ <TD ALIGN="right"><% mt('Apply to') |h %></TD>
+ <TD COLSPAN=2 BGCOLOR="#ffffff">Invoice #<B><% $linknum %></B> only</TD>
+ <INPUT TYPE="hidden" NAME="apply" VALUE="no">
+
+% }
+</TR>
+
+% if ( $conf->exists('pkg-balances') ) {
+ <& /elements/tr-select-cust_pkg-balances.html,
+ 'custnum' => $custnum,
+ 'cgi' => $cgi
+ &>
+% } else {
+ <INPUT TYPE="hidden" NAME="pkgnum" VALUE="">
+% }