{template "phpcms","header"}
<table cellspacing="0" cellpadding="0" width="980">
<tr>
<td valign="top" class="left">
{template "member","left"}
</td>
<td width="10" valign="top">
</td>
<td class="right" valign="top">
<div class="memberborder_1">
<div class="memberborder_2">
<h1>充值卡充值</h1>
<form name="myform" action="{$MOD[linkurl]}paycard.php" method="post">
  <table cellpadding="2" cellspacing="1" class="righttable">
    <tr>
      <td width="120" class="td_right">用戶名：</td>
      <td class="td_left">{$_username}</td>
    </tr>
    <tr >
      <td class="td_right">資金餘額：</td>
      <td class="td_left">{$_money} 元</td>
    </tr>
    <tr >
      <td class="td_right">可用積分：</td> 
     <td class="td_left">{$_credit} 分</td>
    </tr>
    <tr >
      <td class="td_right">可用點數：</td>
      <td class="td_left">{$_point} 點</td>
    </tr>
    <tr >
      <td class="td_right">有效天數：</td>
      <td class="td_left">開始計算日期：{$_begindate}&nbsp;&nbsp;&nbsp;&nbsp;有效期：無限期<br>
      </td>
    </tr>
    <tr>
      <td class="td_right">充值卡卡號：</td>
      <td class="td_left"> <input name="cardid" type="text" maxLength="20" size="20"> </td>
    </tr>
    <tr>
      <td class="td_right">充值卡密碼：</td>
      <td class="td_left"> <input name="password" type="password" maxLength="10" size="20"> </td>
    </tr>
    <tr>
      <td class="td_right"></td>
      <td height="40" class="td_left">
        <input name="dosubmit" type="submit" id="submit" value=" 確定充值 ">
      </td>
    </tr>
  </table>
</form>
</div></div>
</td>
</tr>
</table>
{template "phpcms","footer"}