<?php echo $header; 
$theme_options = $this->registry->get('theme_options');
$config = $this->registry->get('config'); 
include('catalog/view/theme/' . $config->get('config_template') . '/template/new_elements/wrapper_top.tpl'); ?>

<form action="<?php echo $action; ?>" method="post" enctype="multipart/form-data" class="form-horizontal">
  <fieldset>
    <legend><?php echo $text_your_payment; ?></legend>
    <div class="form-group">
      <label class="col-sm-2 control-label" for="input-tax"><?php echo $entry_tax; ?></label>
      <div class="col-sm-10">
        <input type="text" name="tax" value="<?php echo $tax; ?>" placeholder="<?php echo $entry_tax; ?>" id="input-tax" class="form-control" />
      </div>
    </div>
    <div class="form-group">
      <label class="col-sm-2 control-label"><?php echo $entry_payment; ?></label>
      <div class="col-sm-10">
        <div class="radio">
          <label>
            <?php if ($payment == 'cheque') { ?>
            <input type="radio" name="payment" value="cheque" checked="checked" />
            <?php } else { ?>
            <input type="radio" name="payment" value="cheque" />
            <?php } ?>
            <?php echo $text_cheque; ?></label>
        </div>
        <div class="radio">
          <label>
            <?php if ($payment == 'paypal') { ?>
            <input type="radio" name="payment" value="paypal" checked="checked" />
            <?php } else { ?>
            <input type="radio" name="payment" value="paypal" />
            <?php } ?>
            <?php echo $text_paypal; ?></label>
        </div>
        <div class="radio">
          <label>
            <?php if ($payment == 'bank') { ?>
            <input type="radio" name="payment" value="bank" checked="checked" />
            <?php } else { ?>
            <input type="radio" name="payment" value="bank" />
            <?php } ?>
            <?php echo $text_bank; ?></label>
        </div>
      </div>
    </div>
    <div class="form-group payment" id="payment-cheque">
      <label class="col-sm-2 control-label" for="input-cheque"><?php echo $entry_cheque; ?></label>
      <div class="col-sm-10">
        <input type="text" name="cheque" value="<?php echo $cheque; ?>" placeholder="<?php echo $entry_cheque; ?>" id="input-cheque" class="form-control" />
      </div>
    </div>
    <div class="form-group payment" id="payment-paypal">
      <label class="col-sm-2 control-label" for="input-paypal"><?php echo $entry_paypal; ?></label>
      <div class="col-sm-10">
        <input type="text" name="paypal" value="<?php echo $paypal; ?>" placeholder="<?php echo $entry_paypal; ?>" id="input-paypal" class="form-control" />
      </div>
    </div>
    <div class="payment" id="payment-bank">
      <div class="form-group">
        <label class="col-sm-2 control-label" for="input-bank-name"><?php echo $entry_bank_name; ?></label>
        <div class="col-sm-10">
          <input type="text" name="bank_name" value="<?php echo $bank_name; ?>" placeholder="<?php echo $entry_bank_name; ?>" id="input-bank-name" class="form-control" />
        </div>
      </div>
      <div class="form-group">
        <label class="col-sm-2 control-label" for="input-bank-branch-number"><?php echo $entry_bank_branch_number; ?></label>
        <div class="col-sm-10">
          <input type="text" name="bank_branch_number" value="<?php echo $bank_branch_number; ?>" placeholder="<?php echo $entry_bank_branch_number; ?>" id="input-bank-branch-number" class="form-control" />
        </div>
      </div>
      <div class="form-group">
        <label class="col-sm-2 control-label" for="input-bank-swift-code"><?php echo $entry_bank_swift_code; ?></label>
        <div class="col-sm-10">
          <input type="text" name="bank_swift_code" value="<?php echo $bank_swift_code; ?>" placeholder="<?php echo $entry_bank_swift_code; ?>" id="input-bank-swift-code" class="form-control" />
        </div>
      </div>
      <div class="form-group">
        <label class="col-sm-2 control-label" for="input-bank-account-name"><?php echo $entry_bank_account_name; ?></label>
        <div class="col-sm-10">
          <input type="text" name="bank_account_name" value="<?php echo $bank_account_name; ?>" placeholder="<?php echo $entry_bank_account_name; ?>" id="input-bank-account-name" class="form-control" />
        </div>
      </div>
      <div class="form-group">
        <label class="col-sm-2 control-label" for="input-bank-account-number"><?php echo $entry_bank_account_number; ?></label>
        <div class="col-sm-10">
          <input type="text" name="bank_account_number" value="<?php echo $bank_account_number; ?>" placeholder="<?php echo $entry_bank_account_number; ?>" id="input-bank-account-number" class="form-control" />
        </div>
      </div>
    </div>
  </fieldset>
  <div class="buttons clearfix">
    <div class="pull-left"><a href="<?php echo $back; ?>" class="btn btn-default"><?php echo $button_back; ?></a></div>
    <div class="pull-right">
      <input type="submit" value="<?php echo $button_continue; ?>" class="btn btn-primary" />
    </div>
  </div>
</form>

<script type="text/javascript"><!--
$('input[name=\'payment\']').on('change', function() {
    $('.payment').hide();
    
    $('#payment-' + this.value).show();
});

$('input[name=\'payment\']:checked').trigger('change');
//--></script> 

<?php include('catalog/view/theme/' . $config->get('config_template') . '/template/new_elements/wrapper_bottom.tpl'); ?>
<?php echo $footer; ?>