<%= form_for(@chargeback, :url => { :action => :create }, :html => { :class => "form-horizontal" }) do |f| %> <%= hidden_field_tag :account_id, @account_id %> <%= hidden_field_tag :invoice_id, @invoice_id %> <%= f.hidden_field :payment_id %>

Date

<%= DateTime.now.to_s(:pretty) %>

Invoice number

<%= @invoice.invoice_number %>

Account name

<%= @account.name %>
<%= @account.email %>

Status

<%= @payment.status %>

Payment method

<% if @payment_method.present? and @payment_method.plugin_info.present? %> <%= @payment_method.plugin_info.type %> <%= @payment_method.plugin_info.cc_type %> <%= @payment_method.plugin_info.cc_last4 %> <% else %>

DELETED

<% end %>

Payment

<%= @payment.amount %> <%= @account.currency %>

External Payment Id

<%= @payment.ext_first_payment_id_ref %>

External Secondary Payment Id

<%= @payment.ext_second_payment_id_ref %>

<%= f.label :chargeback_amount, "Chargeback amount", :class => "control-label" %>

<%= f.text_field :chargeback_amount, :id => 'chargeback_amount', :class => 'input-small' %>

<%= @account.currency %>

<%= label_tag :reason, "Reason", :class => "control-label" %>

<%= select_tag :reason, options_for_select(Kaui::Chargeback::SAMPLE_REASON_CODES) %>

<%= label_tag :cancel_all_subs, "Cancel account subscriptions?", :class => "control-label" %>

<%= check_box_tag :cancel_all_subs %>

<%= label_tag :comment, "Comment", :class => "control-label" %>

<%= text_area_tag :comment, "", :rows => 3, :class => 'input-xlarge' %>

<%= button_tag "Apply chargeback", :class =>"btn btn-primary" %> <%= link_to 'Back', :back, :class => 'btn' %>

<% end %> <%= javascript_tag do %> $(document).ready(function() { $("#chargeback_amount").keydown(function(event) { preventNonNumericValues(event); }); }); <% end %>

Apply Payment Chargeback