+<& /elements/error.html &>
+
+<FORM NAME="credit_popup" ACTION="<% $p1 %>process/cust_credit.cgi" METHOD=POST>
+<INPUT TYPE="hidden" NAME="crednum" VALUE="">
+<INPUT TYPE="hidden" NAME="custnum" VALUE="<% $custnum |h %>">
+<INPUT TYPE="hidden" NAME="paybatch" VALUE="">
+<INPUT TYPE="hidden" NAME="credited" VALUE="">
+
+<% ntable("#cccccc", 2) %>
+
+% my %date_args = (
+% 'name' => '_date',
+% 'label' => emt('Date'),
+% 'value' => $_date,
+% 'format' => $date_format. ' %r',
+% );
+% if ( $FS::CurrentUser::CurrentUser->access_right('Backdate credit') ) {
+
+ <& /elements/tr-input-date-field.html, \%date_args &>
+
+% } else {
+
+ <& /elements/tr-fixed-date.html, \%date_args &>
+
+% }
+
+ <TR>
+ <TD ALIGN="right"><% mt('Amount') |h %></TD>
+ <TD BGCOLOR="#ffffff"><% $money_char |h %><INPUT TYPE="text" NAME="amount" VALUE="<% $amount |h %>" SIZE=8 MAXLENGTH=9></TD>
+ </TR>
+
+<& /elements/tr-select-reason.html,
+ 'field' => 'reasonnum',
+ 'reason_class' => 'R',
+ 'control_button' => 'confirm_credit_button',
+ 'cgi' => $cgi,
+&>
+
+ <TR>
+ <TD ALIGN="right"><% mt('Additional info') |h %></TD>
+ <TD>
+ <INPUT TYPE="text" NAME="addlinfo" VALUE="<% $cgi->param('addlinfo') |h %>">
+ </TD>
+ </TR>
+
+% if ( $conf->exists('credits-auto-apply-disable') ) {
+ <INPUT TYPE="HIDDEN" NAME="apply" VALUE="no">
+% } else {
+ <TR>
+ <TD ALIGN="right"><% mt('Auto-apply to invoices') |h %></TD>
+ <TD><SELECT NAME="apply"><OPTION VALUE="yes" SELECTED><% mt('yes') |h %><OPTION><% mt('no') |h %></SELECT></TD>
+ </TR>
+% }
+
+% if ( $conf->exists('pkg-balances') ) {
+ <& /elements/tr-select-cust_pkg-balances.html,
+ 'custnum' => $custnum,
+ 'cgi' => $cgi
+ &>
+% } else {
+ <INPUT TYPE="hidden" NAME="pkgnum" VALUE="">
+% }