wmdeit_kaform_ownhistory/form.php

<h1>
	<?php echo _($localeYaml['mainheader'][$loc])?>
</h1>
<p>
	<?php echo _($localeYaml['mainheader_subtext_1'][$loc])?><BR>
	<?php echo _($localeYaml['mainheader_subtext_2'][$loc])?><BR><BR>

	<?php echo _($localeYaml['header1_1'][$loc])?><BR><BR>
        <?php echo _($localeYaml['header1_2'][$loc])?><BR><BR>
        <?php echo _($localeYaml['header1_3'][$loc])?><BR><BR>
        <?php echo _($localeYaml['header1_4'][$loc])?><BR><BR>
</p>




<form data-kube="kaform" name="theform" id="theform" action="submit.php" method="POST">

	<fieldset> <legend><?php echo _($localeYaml['form_1_header'][$loc])?></legend>

		<div class="is-row">
			<div class="is-col"> 
				<input required type="input"
					   size="32" id="projectid" name="project"
					   placeholder="<?php echo _($localeYaml['form_1_placeholder_1'][$loc])?>" />
			</div>
		</div>

		<div class="is-row">
			<div class="is-col"> 
				<input required type="input" size="32"
			`		id="realname"	name="realname" placeholder="<?php echo _($localeYaml['form_1_placeholder_2'][$loc])?>" />
			</div>
			<div class="is-col"> 
				<input type="input" size="32"
			`		id="wmdecontact"	name="wmdecontact" 
						placeholder="<?= _($localeYaml['form_1_placeholder_3'][$loc])?>" />
			</div>
		</div>

		<div class="is-row">
			<div class="is-col"> 
				<input type="tel" size="32" 
					id="phone" name="phone"
					placeholder="<?= _($localeYaml['form_1_placeholder_4'][$loc])?>" />
			</div>
			<div class="is-col"> 
			</div>
		</div>

		<div class="is-row">
			<div class="is-col"> 
				<input required type="email" size="32" id="email"
						name="email" placeholder="<?= _($localeYaml['form_1_placeholder_5'][$loc])?>" />
			</div>
			<div class="is-col"> 
			</div>
		</div>

		<div class="is-row">
			<div class="is-col"> 

				<nav class="tabs" data-kube="tabs" data-equal="false">
					<a href="#bank-eu" class="is-active"><?=_($localeYaml['form_1_SEPA'][$loc])?></a>
					<a href="#bank-noneu"><?=_($localeYaml['form_1_noSEPA'][$loc])?></a>
				</nav>

				<section id="bank-eu">
					<div class="is-row">
						<div class="is-col">
							<input type="input" size="32" name="sepa_owner" placeholder="<?=_($localeYaml['form_1_SEPA_placeholder_1'][$loc])?>" />
						</div>
						<div class="is-col">
						</div>
					</div>

					<div class="is-row">
						<div class="is-col">
							<input type="input" size="32" id="iban" name="iban" placeholder="<?=_($localeYaml['form_1_SEPA_placeholder_2'][$loc])?>" />
						</div>
						<div class="is-col">
							<input type="input" size="32" id="bic" name="bic" placeholder="<?=_($localeYaml['form_1_SEPA_placeholder_3'][$loc])?>" />
						</div>
					</div>
					<textarea  id="comments" name="comments" style="resize:none;" cols="32" rows="4" 
						placeholder="<?=_($localeYaml['form_1_SEPA_placeholder_4'][$loc])?>"></textarea >

				</section>


				<section id="bank-noneu">
					<div class="is-row">
						<div class="is-col">
							<input type="input" size="32" name="non_sepa_owner" placeholder="<?=_($localeYaml['form_1_noSEPA_placeholder_1'][$loc])?>" />
						</div>
						<div class="is-col">
							<input type="input" size="32" id="n_bic" name="n_bic" placeholder="<?=_($localeYaml['form_1_noSEPA_placeholder_2'][$loc])?>" />
						</div>
					</div>

					<div class="is-row">
						<div class="is-col">
							<input type="input" size="32" id="n_iban" name="n_iban" placeholder="<?=_($localeYaml['form_1_noSEPA_placeholder_3'][$loc])?>" />
						</div>
						<div class="is-col">
							<input type="input" size="32" id="n_routing" name="n_routing" placeholder="<?=_($localeYaml['form_1_noSEPA_placeholder_4'][$loc])?>" />
						</div>
					</div>
					<input class="EU nonEU" type="input" size="32" id="n_bank" name="n_bankname" placeholder="<?=$localeYaml['form_1_noSEPA_placeholder_5'][$loc]?>" />

					<textarea  class="nonEU" name="n_bankaddress" id="n_bankaddress" style="resize:both;" cols="32" rows="4" 
						placeholder="<?=_($localeYaml['form_1_noSEPA_placeholder_6'][$loc])?>"></textarea>
					<br>
					<textarea name="n_address" lang="de" class="nonEU" id="n_address" style="resize:both;" cols="32" rows="4" 
						placeholder="<?=_($localeYaml['form_1_noSEPA_placeholder_7'][$loc])?>"></textarea>
					<br>



					<textarea  id="n_comments" name="n_comments"
							style="resize:both;" cols="32" rows="4" 
							placeholder="<?=_($localeYaml['form_1_noSEPA_placeholder_8'][$loc])?>"></textarea>

				</section>

			</div> <!-- i-col -->
		</div> <!-- is-row -->

	</fieldset>


	<fieldset id="fieldset2"> <legend><?=_($localeYaml['form_2_header'][$loc])?></legend>
		<div class="is-row">
			<div class="is-col">
				<?=_($localeYaml['form_2_currency'][$loc])?>
			</div>
			<div class="is-col">
				<select onchange="renumberTableRows()" name='currency' id="currency"  >
					<option value="EUR">EUR</option>
					<option value="USD">USD</option>
					<option value="CHF">CHF</option>
					<option value="XBT">XBT</option>
				</select>
			</div>
			<div class="is-col">
			</div>
		</div>

		<table id="tabtab" class="is-responsive is-bordered is-striped">
			<thead>
				<tr>
					<th><?=_($localeYaml['form_2_table_1'][$loc])?></th>
					<th><?=_($localeYaml['form_2_table_2'][$loc])?></th>
					<th><?=_($localeYaml['form_2_table_3'][$loc])?></th>
					<th><?=_($localeYaml['form_2_table_4'][$loc])?></th>
					<th><?=_($localeYaml['form_2_table_5'][$loc])?></th>
					<th><?=_($localeYaml['form_2_table_6'][$loc])?></th>
					<th><?=_($localeYaml['form_2_table_7'][$loc])?></th>
				</tr>
			</thead>
			<tbody id="tabbody">
			</tbody>
		</table>
		<div class="is-col">
			<button id="add_issue" type="button" onclick="addRow();" 
			class="button is-green"><?=_($localeYaml['form_2_button'][$loc])?></button>
		</div>

	</fieldset>
	<br>
	<fieldset> <legend><?=_($localeYaml['form_3_header'][$loc])?></legend>
		<div class="is-row">
			<div class="is-col valign="center"">
					<?=_($localeYaml['form_3_subtext_1'][$loc])?>
			</div>
			<div class="is-col">
				<input input name="advance" id="advance" type="text" placeholder="0,00 EUR"/>
			</div>
		</div>	

		<div class="is-row">
			<div class="is-col valign="center"">
				<?=_($localeYaml['form_3_subtext_2'][$loc])?>*
			</div>
			<div class="is-col">
				<input id="agree" type="checkbox" />
			</div>
		</div>	

		<div class="is-row">
			<div class="is-col">
				<button type="button" onclick="downloadDocument(false);"
				class="button is-orange"><?=_($localeYaml['form_3_button_1'][$loc])?></button>
			</div>

			<div class="is-col">
				<button type="button" onclick="downloadDocument(true);"
				class="button is-green"><?=_($localeYaml['form_3_button_2'][$loc])?></button>
			</div>
	
		</div>
		</fieldset>

	
		
	<input type="hidden" id="banktype" name="banktype"/>  
	<input type="hidden" id="sendmail" name="sendmail"/>  
 


</form>
<?php