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<?php

        /**
         * Template für die Integration der Kundeneingaben für das Modul "Bankeinzug" in den Checkout2
         */
 
?>
<br /><br />
<div class="wpsg_mod_autodebit">
        <div class="wpsg_mod_autodebit_name wpsg_mod_autodebit_field">
                <label>
                        <?php echo __('Name der Bank', 'wpsg'); ?><span class="wpsg_required">*</span>:
                        <input class="<?php echo ((in_array("mod_autodebit_name", (array)$this->view['error']))?'wpsg_error':''); ?>" type="text" name="wpsg_mod_autodebit[name]" value="<?php echo wpsg_hspc($this->view['wpsg_mod_autodebit']['name']); ?>" />
                </label>
        </div>
        <div class="wpsg_clear"></div>
        <div class="wpsg_mod_autodebit_blz wpsg_mod_autodebit_field">
                <label>
                        <?php echo __('Bankleitzahl', 'wpsg'); ?><span class="wpsg_required">*</span>:
                        <input class="<?php echo ((in_array("mod_autodebit_blz", (array)$this->view['error']))?'wpsg_error':''); ?>" type="text" name="wpsg_mod_autodebit[blz]" value="<?php echo wpsg_hspc($this->view['wpsg_mod_autodebit']['blz']); ?>" />
                </label>
        </div>
        <div class="wpsg_clear"></div>
        <div class="wpsg_mod_autodebit_inhaber wpsg_mod_autodebit_field">
                <label>
                        <?php echo __('Inhaber', 'wpsg'); ?><span class="wpsg_required">*</span>:
                        <input class="<?php echo ((in_array("mod_autodebit_inhaber", (array)$this->view['error']))?'wpsg_error':''); ?>" type="text" name="wpsg_mod_autodebit[inhaber]" value="<?php echo wpsg_hspc($this->view['wpsg_mod_autodebit']['inhaber']); ?>" />
                </label>
        </div>
        <div class="wpsg_clear"></div>
        <div class="wpsg_mod_autodebit_knr wpsg_mod_autodebit_field">
                <label>
                        <?php echo __('Kontonummer', 'wpsg'); ?><span class="wpsg_required">*</span>:
                        <input class="<?php echo ((in_array("mod_autodebit_knr", (array)$this->view['error']))?'wpsg_error':''); ?>" type="text" name="wpsg_mod_autodebit[knr]" value="<?php echo wpsg_hspc($this->view['wpsg_mod_autodebit']['knr']); ?>" />
                </label>
        </div>
        <div class="wpsg_clear"></div>
        
        <div class="wpsg_mandatoryfield_hint">
                <?php echo wpsg_translate(__('Mit #1# gekennzeichnete Felder sind Pflichtfelder.', 'wpsg'), '<span class="wpsg_required">*</span>'); ?>
        </div>
        
</div>