forked from tohe/wmdeit_kaform
Submit button and add row button in blue
This commit is contained in:
parent
0beb236557
commit
718c90c4ca
54
ka.html
54
ka.html
|
@ -15,8 +15,8 @@
|
||||||
</head>
|
</head>
|
||||||
<body>
|
<body>
|
||||||
<div class="page is-container">
|
<div class="page is-container">
|
||||||
<div class="main-sidebar">Sidebar</div>
|
<div class="main-sidebar">Sidebar</div>
|
||||||
<div class="main-content">
|
<div class="main-content">
|
||||||
|
|
||||||
<h1>Antrag auf Kostenerstattung</h1>
|
<h1>Antrag auf Kostenerstattung</h1>
|
||||||
<p>Bitte beachte beim Ausfüllen die
|
<p>Bitte beachte beim Ausfüllen die
|
||||||
|
@ -27,7 +27,7 @@
|
||||||
</p>
|
</p>
|
||||||
<h3>Bitte fülle die allgemeinen Daten für die Erstattung aus.</h3>
|
<h3>Bitte fülle die allgemeinen Daten für die Erstattung aus.</h3>
|
||||||
|
|
||||||
<form action="submit.php" method="POST">
|
<form name="theform" id="theform" action="submit.php" method="POST">
|
||||||
|
|
||||||
<fieldset>
|
<fieldset>
|
||||||
|
|
||||||
|
@ -58,7 +58,6 @@
|
||||||
</fieldset>
|
</fieldset>
|
||||||
|
|
||||||
|
|
||||||
<legend lang="en" >Payout method</legend>
|
|
||||||
|
|
||||||
<fieldset id="bankdetails">
|
<fieldset id="bankdetails">
|
||||||
<legend>Auszahlungsweg</legend>
|
<legend>Auszahlungsweg</legend>
|
||||||
|
@ -83,31 +82,35 @@
|
||||||
<br><br>
|
<br><br>
|
||||||
|
|
||||||
|
|
||||||
<label class="EU nonEU" for="owner" lang="de">Kontoinhaber</label>
|
<label class="EU nonEU" for="owner" >Kontoinhaber</label>
|
||||||
<label class="EU nonEU" for="owner" lang="en">
|
<input class="EU nonEU" type="input" size="32" id="ownerDe" name="Owner" placeholder="wenn abweichend vom Realnamen" />
|
||||||
Bank account owner</label>
|
|
||||||
<input class="EU nonEU" type="input" size="32" id="ownerDe" name="Owner" placeholder="wenn abweichend vom Realnamen" lang="de" /><input class="EU nonEU" type="input" size="32" id="ownerEn" name="Owner" placeholder="if different from full legal name" lang="en" />
|
|
||||||
<label class="EU nonEU" for="iban" lang="de">IBAN</label><label class="EU nonEU" for="iban" lang="en">Bank account number</label><input class="EU nonEU" type="input" size="32" id="iban" name="IBAN" placeholder="DE0123…" />
|
|
||||||
<label class="EU nonEU" for="bic">BIC / SWIFT</label><input class="EU nonEU" type="input" size="32" id="bic" name="BIC" placeholder="LBMU…" />
|
|
||||||
<label class="EU nonEU" for="bank" lang="de">Name der Bank</label><label class="EU nonEU" for="bank" lang="en">Name of bank</label><input class="EU nonEU" type="input" size="32" id="bank" name="Bankname" placeholder="Banky McBankface" />
|
|
||||||
<label class="nonEU" for="bankaddress" lang="en">Bank address</label><textarea lang="en" class="nonEU" id="bankaddress" style="resize:both;" cols="32" rows="4" placeholder="Street and house number
|
|
||||||
Postal code and city
|
|
||||||
Country"></textarea>
|
|
||||||
<label class="nonEU" for="address" lang="en">Your address</label><textarea lang="en" class="nonEU" id="address" style="resize:both;" cols="32" rows="4" placeholder="Street and house number
|
|
||||||
Postal code and city
|
|
||||||
Country"></textarea>
|
|
||||||
<label class="EU nonEU" for="comments" lang="en">Further comments</label><textarea lang="en" class="EU nonEU" id="comments" style="resize:both;" cols="32" rows="4" placeholder="e.g. intermediary bank,
|
|
||||||
reasons for differing account owner"></textarea>
|
|
||||||
|
|
||||||
<label class="nonEU" for="bankaddress" lang="de">Bankanschrift</label><textarea lang="de" class="nonEU" id="bankaddress" style="resize:both;" cols="32" rows="4" placeholder="Straße und Hausnummer
|
<label class="EU nonEU" for="iban" >IBAN</label>
|
||||||
|
<input class="EU nonEU" type="input" size="32" id="iban" name="IBAN" placeholder="DE0123…" />
|
||||||
|
|
||||||
|
<label class="EU nonEU" for="bic">BIC / SWIFT</label>
|
||||||
|
<input class="EU nonEU" type="input" size="32" id="bic" name="BIC" placeholder="LBMU…" />
|
||||||
|
|
||||||
|
|
||||||
|
<label class="EU nonEU" for="bank" >Name der Bank</label>
|
||||||
|
<input class="EU nonEU" type="input" size="32" id="bank" name="Bankname" placeholder="Banky McBankface" />
|
||||||
|
|
||||||
|
|
||||||
|
|
||||||
|
<label class="nonEU" for="bankaddress" >Bankanschrift</label>
|
||||||
|
<textarea class="nonEU" id="bankaddress" style="resize:both;" cols="32" rows="4" placeholder="Straße und Hausnummer
|
||||||
Postleitzahl und Ort
|
Postleitzahl und Ort
|
||||||
Land"></textarea>
|
Land"></textarea>
|
||||||
<label class="nonEU" for="address" lang="de">Deine Anschrift</label><textarea lang="de" class="nonEU" id="address" style="resize:both;" cols="32" rows="4" placeholder="Straße und Hausnummer
|
|
||||||
|
<label class="nonEU" for="address" >Deine Anschrift</label><textarea lang="de" class="nonEU" id="address" style="resize:both;" cols="32" rows="4" placeholder="Straße und Hausnummer
|
||||||
Postleitzahl und Ort
|
Postleitzahl und Ort
|
||||||
Land"></textarea>
|
Land"></textarea>
|
||||||
<label class="EU nonEU" for="comments" lang="de">Weitere Anmerkungen</label><textarea lang="de" class="EU nonEU" id="comments" style="resize:both;" cols="32" rows="4" placeholder="z.B. intermdiäre Bank,
|
<label class="EU nonEU" for="comments" lang="de">Weitere Anmerkungen</label>
|
||||||
|
<textarea class="EU nonEU" id="comments"
|
||||||
|
style="resize:both;" cols="32" rows="4" placeholder="z.B. intermdiäre Bank,
|
||||||
Grund für abweichende Kontoinhaberin"></textarea>
|
Grund für abweichende Kontoinhaberin"></textarea>
|
||||||
|
|
||||||
|
|
||||||
<label class="paypal" for="accountnumber">
|
<label class="paypal" for="accountnumber">
|
||||||
PayPal account</label>
|
PayPal account</label>
|
||||||
<input class="paypal" type="input" size="32"
|
<input class="paypal" type="input" size="32"
|
||||||
|
@ -117,6 +120,7 @@ Grund für abweichende Kontoinhaberin"></textarea>
|
||||||
|
|
||||||
<label>Dein Projekt / Zweck der Reise</label>
|
<label>Dein Projekt / Zweck der Reise</label>
|
||||||
<input type="text" name="projekt"/>
|
<input type="text" name="projekt"/>
|
||||||
|
<br>
|
||||||
|
|
||||||
<h2>Bitte trage deine einzelnen Kostenpositionen ein.</h2>
|
<h2>Bitte trage deine einzelnen Kostenpositionen ein.</h2>
|
||||||
<p>
|
<p>
|
||||||
|
@ -142,16 +146,16 @@ Grund für abweichende Kontoinhaberin"></textarea>
|
||||||
</tbody>
|
</tbody>
|
||||||
|
|
||||||
</table>
|
</table>
|
||||||
<input type="submit"/>
|
<input type="submit" style="display:none" name="submitButton" />
|
||||||
</form>
|
</form>
|
||||||
|
|
||||||
<button onclick="addTableRow();"
|
<button onclick="addTableRow();"
|
||||||
class="button">Position hinzufügen</button>
|
class="button">Position hinzufügen</button>
|
||||||
<button onclick="submitTable();"
|
<button onclick="document.theform.submitButton.click();"
|
||||||
class="button">Absenden</button>
|
class="button">Absenden</button>
|
||||||
|
|
||||||
|
|
||||||
|
|
||||||
|
|
||||||
<!-- Kube JS (optional if you are using Kube CSS only) -->
|
<!-- Kube JS (optional if you are using Kube CSS only) -->
|
||||||
<script src="js/kube.min.js"></script>
|
<script src="js/kube.min.js"></script>
|
||||||
<script src="addons/upload/kube.upload.min.js"></script>
|
<script src="addons/upload/kube.upload.min.js"></script>
|
||||||
|
|
Loading…
Reference in New Issue