{template 'header.html'}


<div class="container">
    <div class="question-box">

        <div class="question-main">


            <form method="post" name="form1" action="{uri()}" onsubmit="return checkform();">

                <div class="user-nav-tab">
                    <h3>
                        <i class="icon-settings"></i>
                        <a href="{url('user/index')}">
                            {lang('membercenter')}
                        </a>
                    </h3>
                    <!-- Nav tabs -->
                    {template_user 'user_menu.html'}
                </div>
                <div class="blank60"></div>

                <div class="form-group">
                    <label>{lang('cash_menoy')}   当前可提现余额：{getmenoy()}</label>
                    {form::getform('menoy',$form,$field,$data)}
                </div>

                <div class="form-group">
                    <label>{lang('adddate')}</label>
                    <input type="text" name="adddate" id="adddate" value="{date('Y-m-d H:i:s',time())}" class="form-control " readonly="readonly">
                </div>
                <div class="form-group">
                    <label>{lang('account-receivable')}</label>
                    {form::getform('number',$form,$field,$data)}
                </div>
                <div class="form-group">
                    <label>{lang('cash_type')}</label>
                    {form::getform('type',$form,$field,$data)}
                </div>
                <div class="form-group">
                    <label>{lang('contactmode')}</label>
                    {form::getform('contact',$form,$field,$data)}
                </div>
                <div class="form-group">
                    <label>{lang('tel')}</label>
                    {form::getform('tel',$form,$field,$data)}
                </div>
                <div class="form-group">
                    <label>{lang('qq')}</label>
                    {form::getform('qq',$form,$field,$data)}
                </div>
                <div class="form-group">
                    <label>{lang('lang_email')}</label>
                    {form::getform('e_mail',$form,$field,$data)}
                </div>
                <div class="form-group">
                    <label>{lang('remarks')}</label>
                    <textarea name="message" id="message" class="form-control ">

                    </textarea>
                </div>
                <div class="blank30"></div>
                <div class="line"></div>
                <div class="blank30"></div>

                <input name="submit" value="1" type="hidden">
                <input type="submit" value="{lang('submit_on')}"   class="btn btn-default btn-blue btn-lg">

            </form>

            <div class="blank30"></div>
        </div>
    </div>


</div>


<script>
    function  checkform() {
        if($("#number").val()=="" ) {
            alert("{lang('account-receivable')}{lang('on_null')}");
            $("#number").focus();
            return false;
        }
        if($("#menoy").val()=="" ) {
            alert("{lang('cash_menoy')}{lang('on_null')}");
            $("#menoy").focus();
            return false;
        }
        if($("#type").val()==0 ) {
            alert("{lang('please_choose')}{lang('cash_type')}");
            $("#type").focus();
            return false;
        }
        return true;
    }
</script>




{template 'footer.html'}