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Filename : 12ad3ddf8cc8bc9d57acd39b52760142.php
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<div class="modal fade" id="withdrawAmountModal" tabindex="-1" aria-labelledby="withdrawAmountModal" aria-hidden="true">
    <div class="modal-dialog modal-dialog-centered">
        <div class="modal-content">
            <div class="modal-header">
                <h5 class="modal-title"><?php echo e(__('messages.affiliation.withdraw_amount')); ?></h5>
                <button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
            </div>
            <form id="withdrawAmountForm" method="post">
                <div class="modal-body">
                    <div class="mb-2">
                        <label class="form-label"><?php echo e(__('messages.subscription.amount')); ?> :<span
                                class="required"></span></label>
                        <input type="text" class="form-control"
                            placeholder="<?php echo e(__('messages.affiliation.enter_amount')); ?>" name="amount"
                            id="withdrawAmount"
                            onkeyup='if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,"")'>
                    </div>
                    <div class="mb-2">
                        <label class="form-label"><?php echo e(__('messages.affiliation.verify_paypal_email')); ?> :<span
                                class=""></span></label>
                        <input type="email" name="paypal_email" id="paypalEmail" class="required form-control mt-2"
                            placeholder="<?php echo e(__('messages.affiliation.enter_paypal_email_to_verify')); ?>">
                    </div>
                    <div class="mb-2">
                        <label class="form-label"><?php echo e(__('messages.subscription.add_bank_details')); ?> :<span
                                class=""></span></label>
                        <textarea name="bank_details" id="bankDetails" class="form-control"
                            placeholder="<?php echo e(__('messages.subscription.bank_info')); ?>"></textarea>
                    </div>
                </div>
                <div class="modal-footer pt-0">
                    <button type="submit" class="btn btn-primary"><?php echo e(__('crud.save')); ?></button>
                    <button type="button" class="btn btn-secondary"
                        data-bs-dismiss="modal"><?php echo e(__('crud.cancel')); ?></button>
                </div>
            </form>
        </div>
    </div>
</div>
<?php /**PATH /home/u628739340/domains/kosari.net/public_html/tarjetadigital/resources/views/user-settings/affiliationWithdraw/withdraw-modal.blade.php ENDPATH**/ ?>