Will things ever be the same again?
[freeside.git] / httemplate / view / cust_main / quick-charge.html
1 %
2 %  my( $cust_main ) = @_;
3 %
4
5
6 <FORM ACTION="<%$p%>edit/process/quick-charge.cgi" METHOD="POST">
7
8 <INPUT TYPE="hidden" NAME="custnum" VALUE="<% $cust_main->custnum %>">
9
10 Description:<INPUT TYPE="text" NAME="pkg">
11
12 Amount:<INPUT TYPE="text" NAME="amount" SIZE=6>
13
14 <% include('/elements/select-taxclass.html') %>
15
16 <INPUT TYPE="submit" VALUE="One-time charge">
17
18 </FORM>
19