<{t}>付款金额：<{/t}> |
<{input type="positive" name=msg[paymoney] required='true' maxlength=20 }>元 |
<{t}>付款方式：<{/t}> |
<{input type="text" name=msg[payments] required='true' maxlength=20 }> |
<{t}>付款时间：<{/t}> |
<{input type="date" name=msg[paydate][] required='true' maxlength=20 readonly=true }> <{input type="select" name=msg[paydate][] options=$timeHours }> 时 <{input type="select" name=msg[paydate][] options=$timeMins }> 分 |
<{t}>备注：<{/t}> |
<{input type="textarea" name=msg[message] rows=3 style="width:40%" }> |
<{t}>标题：<{/t}> |
<{input type="text" name=msg[subject] required='true' maxlength=20 }> |
<{t}>内容：<{/t}> |
<{input type="textarea" name=msg[message] rows=3 style="width:40%" }> |