<!-- $Id: replenish_info.htm 8366 2007-04-27 05:33:39Z wj $ -->
{include file="pageheader.htm"}

<div class="main-div">
<form method="post" action="virtual_card.php" name="theForm"  onsubmit="return validate()">
<table >
  <tr>
    <td class="label">{$lang.lab_goods_name}</td>
    <td><input type="text" name="goods_name" maxlength="60"  value="{$card.goods_name}" disabled="true" /></td>
  </tr>
  <tr>
    <td class="label">{$lang.lab_card_sn}</td>
    <td><input type="text" name="card_sn" maxlength="60" size="40" value="{$card.card_sn}" />{$lang.require_field}</td>
  </tr>
  <tr>
    <td class="label">{$lang.lab_card_password}</td>
    <td><input type="text" name="card_password" maxlength="60" size="40" value="{$card.card_password}" /></td>
  </tr>
  <tr>
    <td class="label">{$lang.lab_end_date}</td>
    <td>{html_select_date prefix="end_date" field_order="YMD" month_format="%m"  day_value_format="%02d" start_year="-1" end_year="+10" display_days=yes time=$card.end_date}</td>
  </tr>
  <tr>
    <td class="label"><input type="hidden" name="act" value="action" /><input type="hidden" name="goods_id" value="{$card.goods_id}" /><input type="hidden" name="old_card_sn" value="{$card.card_sn}" /><input type="hidden" name="card_id" value="{$card.card_id}" /></td>
    <td><input type="submit" value="{$lang.button_submit}" class="button"  /></td>
  </tr>
</table>

</form>
</div>

<script language="javascript" src="js/validator.js"></script>
<script language="JavaScript">
<!--
{literal}
document.forms['theForm'].elements['card_sn'].focus();

onload = function()
{
    // 开始检查订单
    startCheckOrder();
}

/**
 * 检查表单输入的数据
 */
function validate()
{
  var frm = document.forms['theForm'];
  if ((frm.elements['card_sn'].value.length > 0) || (frm.elements['card_password'].value.length > 0))
  {
    return true;
  }
  else
  {
    alert(no_card_sn);
    return false;
  }
}
//-->
{/literal}
</script>

{include file="pagefooter.htm"}