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- <form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Coupon_id')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-coupon_id" data-rule="required" data-source="coupons/index" class="form-control selectpage" name="row[coupon_id]" type="text" value="{$row.coupon_id|htmlentities}">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Number')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-number" class="form-control" name="row[number]" type="number" value="{$row.number|htmlentities}">
- </div>
- </div>
- <div class="form-group layer-footer">
- <label class="control-label col-xs-12 col-sm-2"></label>
- <div class="col-xs-12 col-sm-8">
- <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
- <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
- </div>
- </div>
- </form>
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