<!-- BEGIN {$smarty.template} -->

<form action="{$FORM_ACTION}" method="post">
<input type="hidden" name="file" value="{$bmt.bmt_filename|rawurlencode}">
<input type="hidden" name="action" value="{$smarty.const.ACTION_ADD}">

<table class="stdtable" cellspacing="0">
  <caption><em>{t}Add billing method plugin{/t}</em></caption>
  <tr>
    <td class="label"> {t}File{/t}:</td>
    <td class="data"> {$bmt.bmt_filename|wash} </td>
  </tr>
  <tr>
    <td class="label"> {t}Description{/t}:</td>
    <td class="data"> <input type="text" class="tinput" name="bmt_description" value="{$bmt.bmt_description|stripslashes|wash}" size="50" maxlength="250"> </td>
  </tr>
  <tr>
    <td class="label"> {t}Country{/t}: </td>
    <td class="data">
      <select name="ctr_id">
        {html_options options=$countries selected=$bmt.ctr_id}
      </select>
    </td>
  </tr>
</table>

<div class="buttons">
  <input type="submit" name="submit" value="{t}Submit{/t}">
  <input type="button" onclick="location.href='bmt_plugins.php';" value="{t}Cancel{/t}">
</div>

<!-- END {$smarty.template} -->
