whmcsCrosterTemplates/payment/bank/inputs.tpl

<div{if !$addingNew} class="w-hidden"{/if}>
    <div class="form-group row bank-details">
        <label for="inputBankAcctType" class="col-sm-4 text-md-right col-form-label">
            {lang key='paymentMethodsManage.accountType'}
        </label>
        <div class="col-sm-7">
            <label class="form-check form-check-inline">
                <input type="radio" class="icheck-button" name="account_type" id="inputBankAcctType" value="Checking"{if !$accountType || $accountType == 'Checking'} checked{/if}>
                {lang key='paymentMethodsManage.checking'}
            </label>
            <label class="form-check form-check-inline">
                <input type="radio" class="icheck-button" name="account_type" value="Savings"{if $accountType == 'Savings'} checked{/if}>
                {lang key='paymentMethodsManage.savings'}
            </label>
        </div>
    </div>
    <div class="form-group row bank-details">
        <label for="inputBankAcctHolderName" class="col-sm-4 text-md-right col-form-label">
            {lang key='paymentMethodsManage.accountHolderName'}
        </label>
        <div class="col-sm-7">
            <input type="text" class="form-control" id="inputBankAcctHolderName" name="account_holder_name" autocomplete="off" value="{$accountHolderName}">
            <span class="field-error-msg">
                {lang key='paymentMethods.fieldRequired'}
            </span>
        </div>
    </div>
    <div class="form-group row bank-details">
        <label for="inputBankName" class="col-sm-4 text-md-right col-form-label">
            {lang key='paymentMethodsManage.bankName'}
        </label>
        <div class="col-sm-7">
            <input type="text" class="form-control" id="inputBankName" name="bank_name" autocomplete="off" value="{$bankName}">
            <span class="field-error-msg">
                {lang key='paymentMethods.fieldRequired'}
            </span>
        </div>
    </div>
    <div class="form-group row bank-details">
        <label for="inputBankRoutingNum" class="col-sm-4 text-md-right col-form-label">
            {lang key='paymentMethodsManage.sortCodeRoutingNumber'}
        </label>
        <div class="col-sm-7">
            <input type="tel" class="form-control" id="inputBankRoutingNum" name="routing_number" autocomplete="off" value="{$routingNumber}">
            <span class="field-error-msg">
                {lang key='paymentMethodsManage.routingNumberNotValid'}
            </span>
        </div>
    </div>
    <div class="form-group row bank-details">
        <label for="inputBankAcctNum" class="col-sm-4 text-md-right col-form-label">
            {lang key='paymentMethodsManage.accountNumber'}
        </label>
        <div class="col-sm-7">
            <input type="tel" class="form-control" id="inputBankAcctNum" name="account_number" autocomplete="off" value="{$accountNumber}">
            <span class="field-error-msg">
                {lang key='paymentMethodsManage.accountNumberNotValid'}
            </span>
        </div>
    </div>
    <div id="inputDescriptionContainer" class="form-group row bank-details">
        <label for="inputDescription" class="col-sm-4 text-md-right col-form-label">
            {lang key='paymentMethods.description'}
        </label>
        <div class="col-sm-6">
            <input type="text"
                   class="form-control"
                   id="inputDescription"
                   name="description"
                   autocomplete="off"
                   value="{$description}"
                   placeholder="{lang key='paymentMethodsManage.optional'}"
            >
        </div>
    </div>
</div>
{include file="$template/payment/billing-address.tpl"}