[onshow;script ='../lib/pageheader.php']
<div class="title-page">[var.billTitrePage]</div>
<br>
<table align="center" cellpadding=5 style="border:1px solid #888888;">

<tr>

<form name="subscriptions" action="[var..script_name]" method="POST" style="margin:0">
<input type="hidden" name="id" value="[var.subscription.id]" >
<input type="hidden" name="customerid" value="[var.subscription.id_customer]" >
<td colspan="3"">


<label class="label" >Date cr&eacute;ation</label><br>
<b>[var.subscription.date_created]</b>

<br><br>
<label class="label" >Client</label><br>
<b>[var.cust.company]</b>

<br><br>
<label class="label">Ref client</label><br>
<input type="text" name="ref_customer" size="25" class="text" value="[var.subscription.ref_customer]" >

<br><br>
<label class="label" >Produit</label><br>
<select name="id_product">
<option value="[rsproduct.id]">[rsproduct.name;block=option]</option>
<option>[var.subscription.id_product;selected;noerr]</option>
</select>

<br><br>
<label class="label">Description</label><br>
<textarea name="description" class="text" rows="4" cols="50">[var.subscription.description;htmlconv=no]</textarea>

<br><br>
<label class="label">Prix</label><br>
<input type="text" name="price" size="11" class="text" value="[var.subscription.price;frm='0 000.00']" >

<br><br>
<label class="label">Quantit&eacute;</label><br>
<input type="text" name="quantity" size="11" class="text" value="[var.subscription.quantity;frm='0 000.00']" >

<br><br>
<label class="label">Date activation</label><br>
<input type="text" name="date_activation" size="11" class="text" value="[var.subscription.date_activation]" >
</td>
</tr>
<tr>
<td>
<label class="label">P&eacute;riodicit&eacute; (mois)</label><br>
<input type="text" name="frequency" size="5" class="text" value="[var.subscription.frequency;frm='0']" >
</td>
<td>
<label class="label">Paiement anticip&eacute;</label><br>
<input name="anticipated" type="checkbox" [var.subscription.anticipated;if [val]='1' ;then 'CHECKED'; else ''] value="1">
</td>
<td>
<label class="label">Anticipation facture (jours)</label><br>
<input type="text" name="decalage" size="5" class="text" value="[var.subscription.decalage;frm='0']" >
</td></tr>
<tr>
<td colspan="3">
<input type="reset" value="Reset" class="button">
<input type="submit" name="submit" value="Enregistrer" class="button">&nbsp;&nbsp;
<a href="subscription_calendar.php?id=[var.subscription.id]" target="_blank">
<img src="../images/calendar.gif" border="0" alt="Calendrier paiements"></a>
</form>


</td></tr></table>



[onshow;script ='../lib/pagefooter.php']