upd: rename package name and all references to it

[gigi.git] / src / club / wpia / gigi / pages / wot / RequestTTPForm.templ

diff --git a/src/club/wpia/gigi/pages/wot/RequestTTPForm.templ b/src/club/wpia/gigi/pages/wot/RequestTTPForm.templ
new file mode 100644 (file)
index 0000000..85d96f9
--- /dev/null
+++ b/src/club/wpia/gigi/pages/wot/RequestTTPForm.templ
@@ -0,0 +1,19 @@
+<table class="table">
+       <tr>
+               <td class="DataTD"><?=_Country where you want to visit the TTP?></td>
+               <td class="DataTD"><select size="1" name="country">
+                       <? foreach($countries) {?>
+                               <option value="<?=$i?>"><?=$country?></option>
+                       <? } ?>
+               </select></td>
+       </tr>
+<!--   <tr>
+               <td class="DataTD"><?=_I want to take part in the TTP Topup programme?></td>
+               <td class="DataTD"><input type="checkbox" name="ttptopup" value="1"></td>
+       </tr>-->
+       <tr>
+               <td colspan="2" >
+                       <input class="btn btn-primary" type="submit" name="ttp" value="<?=_I need a TTP verification?>">
+               </td>
+       </tr>
+</table>