Server : Apache/2 System : Linux server-15-235-50-60 5.15.0-164-generic #174-Ubuntu SMP Fri Nov 14 20:25:16 UTC 2025 x86_64 User : gositeme ( 1004) PHP Version : 8.2.29 Disable Function : exec,system,passthru,shell_exec,proc_close,proc_open,dl,popen,show_source,posix_kill,posix_mkfifo,posix_getpwuid,posix_setpgid,posix_setsid,posix_setuid,posix_setgid,posix_seteuid,posix_setegid,posix_uname Directory :  /home/gositeme/domains/gositeme.com/public_html/whmcs/templates/phox/payment/bank/

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<div class="form-group bank-details{if !$addingNew} hidden{/if}">
    <label for="inputBankAcctType" class="col-sm-4 control-label">
        {lang key='paymentMethodsManage.accountType'}
    </label>
    <div class="col-sm-7">
        <label class="radio-inline icheck-label">
            <input type="radio" class="icheck-button" name="account_type" id="inputBankAcctType" value="Checking"{if !$accountType || $accountType == 'Checking'} checked{/if}>
            {lang key='paymentMethodsManage.checking'}
        </label>
        <label class="radio-inline icheck-label">
            <input type="radio" class="icheck-button" name="account_type" value="Savings"{if $accountType == 'Savings'} checked{/if}>
            {lang key='paymentMethodsManage.savings'}
        </label>
    </div>
</div>
<div class="form-group bank-details{if !$addingNew} hidden{/if}">
    <label for="inputBankAcctHolderName" class="col-sm-4 control-label">
        {lang key='paymentMethodsManage.accountHolderName'}
    </label>
    <div class="col-sm-7">
        <input type="text" class="form-control" id="inputBankAcctHolderName" name="account_holder_name" autocomplete="off" value="{$accountHolderName}">
        <span class="field-error-msg">
            {lang key='paymentMethods.fieldRequired'}
        </span>
    </div>
</div>
<div class="form-group bank-details{if !$addingNew} hidden{/if}">
    <label for="inputBankName" class="col-sm-4 control-label">
        {lang key='paymentMethodsManage.bankName'}
    </label>
    <div class="col-sm-7">
        <input type="text" class="form-control" id="inputBankName" name="bank_name" autocomplete="off" value="{$bankName}">
        <span class="field-error-msg">
            {lang key='paymentMethods.fieldRequired'}
        </span>
    </div>
</div>
<div class="form-group bank-details{if !$addingNew} hidden{/if}">
    <label for="inputBankRoutingNum" class="col-sm-4 control-label">
        {lang key='paymentMethodsManage.sortCodeRoutingNumber'}
    </label>
    <div class="col-sm-7">
        <input type="tel" class="form-control" id="inputBankRoutingNum" name="routing_number" autocomplete="off" value="{$routingNumber}">
        <span class="field-error-msg">
            {lang key='paymentMethodsManage.routingNumberNotValid'}
        </span>
    </div>
</div>
<div class="form-group bank-details{if !$addingNew} hidden{/if}">
    <label for="inputBankAcctNum" class="col-sm-4 control-label">
        {lang key='paymentMethodsManage.accountNumber'}
    </label>
    <div class="col-sm-7">
        <input type="tel" class="form-control" id="inputBankAcctNum" name="account_number" autocomplete="off" value="{$accountNumber}">
        <span class="field-error-msg">
            {lang key='paymentMethodsManage.accountNumberNotValid'}
        </span>
    </div>
</div>
<div id="inputDescriptionContainer" class="form-group bank-details{if !$addingNew} hidden{/if}">
    <label for="inputDescription" class="col-sm-4 control-label">
        {lang key='paymentMethods.description'}
    </label>
    <div class="col-sm-6">
        <input type="text"
               class="form-control"
               id="inputDescription"
               name="description"
               autocomplete="off"
               value="{$description}"
               placeholder="{lang key='paymentMethodsManage.optional'}"
        >
    </div>
</div>
{include file="$template/payment/billing-address.tpl"}