{template "header.html"}

<form class="form-horizontal" method="post" role="form" id="myform">
    {dr_form_hidden()}
    <div class="form-body">

        <div class="form-group" id="dr_row_note">
            <label class="col-xs-3 control-label ajax_name">{dr_lang('备注说明')}</label>
            <div class="col-xs-8">
                {$content_field}
                <span class="help-block">结算之后本订单将交易完成，自动将打开到媒体主账户</span>
            </div>
        </div>
    </div>
</form>


{template "footer.html"}