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<!--
Released under the GNU General Public License (Version 2)
[http://www.gnu.org/licenses/gpl-2.0.html]
-->
<link rel="stylesheet" media="all" type="text/css" href="{$tplPath}/assets/styles/heidelpayAfter.css"/>
<form name='heidelpay' class='module_option_checked' action='{$formUrl}' method='post' onsubmit='return valGatewayForm();' autocomplete='off'>
<table class="newreg_{$pm}">
<colgroup>
<col width="145">
<col width="165">
</colgroup>
{if ($heidel_iban == '2')}
<script type='text/javascript'>{literal}
document.addEventListener('DOMContentLoaded', function(){
$(document).ready(function(){
if(jQuery('#sepa_switch :selected').val() == 'iban'){ iban(); }
if(jQuery('#sepa_switch :selected').val() == 'noiban'){ noiban(); }
jQuery('#sepa_switch').change(function(){
if(jQuery('#sepa_switch :selected').val() == 'iban'){ iban(); }
if(jQuery('#sepa_switch :selected').val() == 'noiban'){ noiban(); }
});
function iban(){
jQuery('#account').parent().parent().hide();
jQuery('#bankcode').parent().parent().hide();
jQuery('#iban').parent().parent().show();
jQuery('#bic').parent().parent().show();
}
function noiban(){
jQuery('#account').parent().parent().show();
jQuery('#bankcode').parent().parent().show();
jQuery('#iban').parent().parent().hide();
jQuery('#bic').parent().parent().hide();
}
jQuery('#iban').on('input', function(){
if(jQuery(this).val().match(/^(D|d)(E|e)/)){
jQuery('#bic').parent().parent().fadeOut();
jQuery('#bic').attr('disabled', 'disabled');
}else{
jQuery('#bic').removeAttr('disabled');
jQuery('#bic').parent().parent().fadeIn();
}
});
});
});
{/literal}</script>
<tr>
<td><label>{$smarty.const.HGW_TXT_ACC_SWITCH}*:</label></td>
<td><select id="sepa_switch" name="hpdd_sepa">
<option value="iban">{$smarty.const.HGW_TXT_ACC_SWITCH_IBAN}</option>
<option value="noiban">{$smarty.const.HGW_TXT_ACC_SWITCH_CLASSIC}</option>
</select></td>
</tr>
{/if}
{if ($heidel_iban == '0') || ($heidel_iban == '2')}
<tr>
<td><label>{$smarty.const.HGW_TXT_ACC_NUMBER}*:</label></td>
<td><input type="text" class="text" value="" id="account" name="ACCOUNT.NUMBER" /></td>
</tr>
<tr>
<td><label>{$smarty.const.HGW_TXT_ACC_BANK}*:</label></td>
<td><input type="text" class="text" value="" id="bankcode" name="ACCOUNT.BANK" /></td>
</tr>
{/if}
<tr>
<td><label>{$smarty.const.HGW_TXT_ACC_IBAN}*:</label></td>
<td><input type="text" class="text" value="" id="iban" name="ACCOUNT.IBAN" /></td>
</tr>
<tr>
<td><label>{$smarty.const.HGW_TXT_ACC_COUNTRY}*:</label></td>
<td><select id="cardBrand" name="ACCOUNT.COUNTRY">
{foreach key=ccode item=country from=$bankCountry[$pm]}
<option value='{$ccode}' >{$country}</option>
{/foreach}
</select></td>
</tr>
<tr>
<td><label>{$smarty.const.HGW_TXT_CARDHOLDER}*:</label></td>
<td><input type="text" class="text" value="{if $user.first_name != ''}{$user.first_name}{/if} {if $user.last_name != ''}{$user.last_name}{/if}" id="cardHolder" name="ACCOUNT.HOLDER" /></td>
</tr>
<tr>
<td colspan='2' class="description">{$smarty.const.HGW_TXT_MAND}</td>
</tr>
</table>
{if $DbOnRg}<input type="hidden" name='CRITERION.DBONRG' value='{$DbOnRg}' />{/if}
<br/><br/>
<input type="button" value="{$smarty.const.HGW_BTN_CANCEL}" class="grey button left" onClick="location.href='ext/heidelpay/heidelpayGW_response.php?cancel=1'" />
<input type="submit" value="{$smarty.const.HGW_BTN_CONTINUE}" class="green button right" />
</form>