{include passport_header 1}
<div>
  <table width="100%" border="0" cellspacing="1" cellpadding="3">
    <tr>
      <td width="24%" valign="top">{include left 1} </td>
      <td valign="top"><div class="box">
        <table width="100%" border="0" cellspacing="1" cellpadding="3">
          <tr>
            <td class="h"><a href="jifen.php">查看积分</a> <strong>积分充值</strong> <a href="order.php">查看订单</a></td>
          </tr><form action="{:FormToSelf}" method="post" target="_blank">
          <tr class="t2">
            <td> 支付金额
              <input name="chongzhi_num" type="text" id="chongzhi_num" size="15" />
RMB
<input name="Submit" type="hidden" id="Submit" value="1" />
<input type="submit" value="充值" /></td>
            </tr></form>
          <tr>
            <td> 当前汇率 1 RMB = {:rtc.passport_moneyhuilv} {:rtc.passport_onlinemoney|GetMoneyName @} </td>
            </tr>
          <tr>
            <td> 最低充值 {:rtc.passport_chongzhi_min} RMB </td>
          </tr>
        </table>
      </div></td>
    </tr>
  </table>
</div>
{include passport_footer 1}