<INPUT TYPE="hidden" NAME="payinfo" VALUE="<% $cust_main->paymask %>">
-% foreach my $field (qw( payname paycvv paystart_month paystart_year payissue payip )) {
+% foreach my $field (qw( payname paycvv paystart_month paystart_year payissue payip paytype paystate )) {
<INPUT TYPE="hidden" NAME="<% $field %>" VALUE="<% $cust_main->getfield($field) %>">
</SCRIPT>
% my $payby = $cust_main->payby;
+% my $paytype = $cust_main->paytype;
% my( $account, $aba ) = split('@', $payinfo);
%
% my $disabled = 'DISABLED style="background-color: #dddddd"';
% '<TABLE BGCOLOR="#cccccc" BORDER=0 CELLSPACING=0 HEIGHT=192>'.
%
% qq!<TR><TD ALIGN="right" WIDTH="200">${r}Account number </TD>!.
-% qq!<TD WIDTH="408"><INPUT TYPE="text" SIZE=12 NAME="payinfo1" VALUE="!. ( $payby =~ /^(CHEK|DCHK)$/ ? $account : '' ). '"></TD></TR>'.
+% qq!<TD><INPUT TYPE="text" SIZE=12 NAME="payinfo1" VALUE="!. ( $payby =~ /^(CHEK|DCHK)$/ ? $account : '' ). '"></TD>'.
+% qq!<TD ALIGN="right">Type</TD><TD><SELECT="text" NAME="paytype">!.
+% join('', map { qq!<OPTION VALUE="$_" !.($paytype eq $_ ? 'SELECTED' : '').">$_</OPTION>" } @FS::cust_main::paytypes).
+% qq!</SELECT></TD></TR>!.
%
% qq!<TR><TD ALIGN="right" WIDTH="200">${r}ABA/Routing number </TD>!.
-% qq!<TD WIDTH="408"><INPUT TYPE="text" SIZE=10 MAXLENGTH=9 NAME="payinfo2" VALUE="!. ( $payby =~ /^(CHEK|DCHK)$/ ? $aba : '' ). qq!" SIZE=10 MAXLENGTH=9> !.
+% qq!<TD COLSPAN="3" WIDTH="408"><INPUT TYPE="text" SIZE=10 MAXLENGTH=9 NAME="payinfo2" VALUE="!. ( $payby =~ /^(CHEK|DCHK)$/ ? $aba : '' ). qq!" SIZE=10 MAXLENGTH=9> !.
% qq!(<A HREF="javascript:void(0);" onClick="overlib( OLiframeContent('../docs/ach.html', 380, 240, 'ach_popup' ), CAPTION, 'ACH Help', STICKY, AUTOSTATUSCAP, CLOSECLICK, DRAGGABLE ); return false;">help</A>)!.
% qq!</TD></TR>!.
%
% qq!<INPUT TYPE="hidden" NAME="exp_year" VALUE="2037">!.
%
% qq!<TR><TD ALIGN="right" WIDTH="200">${r}Bank name </TD>!.
-% qq!<TD WIDTH="408"><INPUT TYPE="text" NAME="payname" VALUE="!. ( $payby =~ /^(CHEK|DCHK)$/ ? $cust_main->payname : '' ). qq!"></TD></TR>!.
+% qq!<TD COLSPAN="3" WIDTH="408"><INPUT TYPE="text" NAME="payname" VALUE="!. ( $payby =~ /^(CHEK|DCHK)$/ ? $cust_main->payname : '' ). qq!"></TD></TR>!.
+% qq!<TR><TD ALIGN="right" WIDTH="200">$paystate_label</TD>!.
+% qq!<TD COLSPAN="3" WIDTH="408">!.
+% include('select-state.html',
+% 'empty' => '(choose)',
+% 'state' => $cust_main->paystate,
+% 'country' => $cust_main->country,
+% 'prefix' => 'pay',
+% ). "</TD></TR>".
%
-% qq!<TR><TD COLSPAN=2 WIDTH="608"><INPUT TYPE="checkbox" NAME="payauto" !. ( $payby eq 'DCHK' ? '' : 'CHECKED' ). '> Charge future payments to this electronic check automatically</TD></TR>'.
+%
+% qq!<TR><TD COLSPAN=4 WIDTH="608"><INPUT TYPE="checkbox" NAME="payauto" !. ( $payby eq 'DCHK' ? '' : 'CHECKED' ). '> Charge future payments to this electronic check automatically</TD></TR>'.
%
% '<TR><TD> </TD></TR>'.
% '<TR><TD> </TD></TR>'.
<% $r %> required fields
% }
+<%once>
+
+my $paystate_label = FS::Msgcat::_gettext('paystate');
+$paystate_label = 'Bank state' if $paystate_label =~/^paystate$/;
+
+</%once>
<%init>
my( $cust_main, %options ) = @_;