{include file="sections/header.tpl"}

<div class="row">
    <div class="col-sm-12 col-md-8 mx-auto">
        <div class="card border-0 shadow-sm">
            <div class="card-header bg-primary bg-gradient text-white">
                <h5 class="mb-0"><i class="isax isax-ticket me-2"></i>{Lang::T('Refill Account')}</h5>
            </div>
            <div class="card-body">
                <form method="post" role="form" action="{Text::url('')}plan/refill-post">
                    <div class="mb-3">
                        <label class="form-label fw-semibold">{Lang::T('Select Account')}</label>
                        <select id="personSelect" class="form-select select2" name="id_customer"
                            style="width: 100%" data-placeholder="{Lang::T('Select a customer')}...">
                        </select>
                    </div>
                    <div class="mb-3">
                        <label class="form-label fw-semibold">{Lang::T('Code Voucher')}</label>
                        <input type="text" class="form-control" id="code" name="code"
                            placeholder="{Lang::T('Enter voucher code here')}">
                    </div>

                    <div class="mb-3">
                        <button class="btn btn-success" onclick="return ask(this, '{Lang::T('Continue the Refill process')}?')"
                            type="submit"><i class="isax isax-tick-circle me-1"></i>{Lang::T('Recharge')}</button>
                        {Lang::T('Or')} <a href="{Text::url('')}customers/list">{Lang::T('Cancel')}</a>
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>


{include file="sections/footer.tpl"}