%
%  my( $cust_main ) = @_;
%


<FORM ACTION="<%$p%>edit/process/quick-charge.cgi" METHOD="POST">

<INPUT TYPE="hidden" NAME="custnum" VALUE="<% $cust_main->custnum %>">

Description:<INPUT TYPE="text" NAME="pkg">

Amount:<INPUT TYPE="text" NAME="amount" SIZE=6>

<% include('/elements/select-taxclass.html') %>

<INPUT TYPE="submit" VALUE="One-time charge">

</FORM>