2fe3d5f3deb5c84e2de5ca3a01dfac1932384cb2
[freeside.git] / httemplate / view / cust_main / quick-charge.html
1 <%
2   my( $cust_main ) = @_;
3 %>
4
5 <FORM ACTION="<%=$p%>edit/process/quick-charge.cgi" METHOD="POST">
6
7 <INPUT TYPE="hidden" NAME="custnum" VALUE="<%= $cust_main->custnum %>">
8
9 Description:<INPUT TYPE="text" NAME="pkg">
10
11 Amount:<INPUT TYPE="text" NAME="amount" SIZE=6>
12
13 <%= include('/elements/select-taxclass.html') %>
14
15 <INPUT TYPE="submit" VALUE="One-time charge">
16
17 </FORM>
18