<div class="checkout-payment-form">
	<input type="hidden" name="otrans_country" value="<?php echo $this->payone->getBillToCountry() ?>">
	<table class="payone_paydata_nocheck payone_otrans_data" data-gambio-widget="payone_checkout" data-payone_checkout-module="otrans">
		<tr>
			<td class="p1-label">
				<label for="otrans_type">##onlinetransfer_type</label>
			</td>
			<td>
				<select name="otrans_type" id="otrans_type">
					<?php foreach($genre_config['types'] as $type_name => $type_config): ?>
					<?php if($type_config['active'] == 'true'): ?>
					<option value="<?php echo $type_name ?>"><?php echo $type_config['name'] ?></option>
					<?php endif ?>
					<?php endforeach ?>
				</select>
			</td>
		</tr>
		<tr class="datarow for_giropay for_sofortueberweisung for_eps for_ideal">
			<td class="p1-label">
				<label for="otrans_accowner">##text_accountowner</label>
			</td>
			<td>
				<input id="otrans_accowner" name="otrans_accowner" type="text" value="<?php echo $_SESSION['customer_first_name'].' '.$_SESSION['customer_last_name'] ?>">
			</td>
		</tr>
		<tr class="datarow for_giropay for_sofortueberweisung">
			<td class="p1-label">
				<label for="otrans_iban">##iban</label>
			</td>
			<td>
				<input id="otrans_iban" name="otrans_iban" type="text" value="">
			</td>
		</tr>
		<tr class="datarow for_giropay for_sofortueberweisung">
			<td class="p1-label">
				<label for="otrans_bic">##bic</label>
			</td>
			<td>
				<input id="otrans_bic" name="otrans_bic" type="text" value="">
			</td>
		</tr>
		<tr class="datarow for_eps">
			<td class="p1-label">
				<label for="otrans_bankgroup_eps">##text_bankgroup</label>
			</td>
			<td>
				<select id="otrans_bankgroup_eps" name="otrans_bankgroup_eps">
					<?php foreach($bgroups['eps'] as $bg_id => $bg_name): ?>
					<option value="<?php echo $bg_id ?>"><?php echo $bg_name ?></option>
					<?php endforeach ?>
				</select>
			</td>
		</tr>
		<tr class="datarow for_ideal">
			<td class="p1-label">
				<label for="otrans_bankgroup_ideal">##text_bankgroup</label>
			</td>
			<td>
				<select id="otrans_bankgroup_ideal" name="otrans_bankgroup_ideal">
					<?php foreach($bgroups['ideal'] as $bg_id => $bg_name): ?>
					<option value="<?php echo $bg_id ?>"><?php echo $bg_name ?></option>
					<?php endforeach ?>
				</select>
			</td>
		</tr>
		<tr class="datarow for_giropay for_sofortueberweisung for_eps for_ideal">
			<td colspan="2">
				<p class="p1_error"></p>
			</td>
		</tr>
	</table>
</div>