Your IP : 216.73.216.26

Current Path : /home2/wtmwscom/public_html/member/
Upload File :
Current File : /home2/wtmwscom/public_html/member/reject.php

<?php
$title = "Reject Payment Request";
include 'header.php';
$uid = $_SESSION['userid'];
if (!isset($_GET['help_id'])) {
    redirect("./index.php");
}
$help_id = $_GET['help_id'];
?>

<div class="container-fluid">
    <?php echo getMessage(); ?>
    <div class="row">
        <div class="col-sm-12">
            <div class="page-title-box">
                <h4 class="page-title">Rejected Pyment Request</h4>
                <ol class="breadcrumb">
                    <li class="breadcrumb-item"><a href="index.php">Home</a></li>
                    <li class="breadcrumb-item"><a href="#">Index</a></li>
                    <li class="breadcrumb-item active">Rejected Payment Request</li>
                </ol>
            </div>
        </div>
    </div>
    <!-- end row -->
    <div class="row">
        <div class="col-12">
            <div class="card m-b-20">
                <div class="card-body">
                    <form action="reject_model.php" name="form" id="form" method="post" enctype="multipart/form-data">
                        <div class="form-group row">
                            <!--                                            <label for="example-text-input" class="col-sm-2 col-form-label">Text</label>-->
                            <label class="col-sm-2 col-form-label" for="subject">Subject <span>*</span></label>
<!--                                            <label class="col-sm-2 col-form-label" for="dob"> Name<span>*</span></label>-->
                            <div class="col-sm-10">

                                <input class="form-control" type="text" name="subject" id="subject" required="required" maxlength="100">
                            </div>
                        </div>
                        <div class="form-group row">
                            <label class="col-sm-2 col-form-label" for="message">Message </label>
                            <div class="col-sm-10">
                                <textarea name="message" id="message" required="required"></textarea>               </div>
                        </div>
                        <div class="form-group row">
                            <label class="col-sm-2 col-form-label" for="receipt">Select File </label>
                            <div class="col-sm-10">

                                <input class="form-control" type="file" name="receipt" id="receipt">
                            </div>
                        </div>

                        <div class="form-group">
                            <div>
                                <input type="hidden" name="help_id" value="<?php echo $help_id;?>" />
                                <button name="submit" type="submit" id="submit" value="Submit" class="btn btn-primary waves-effect waves-light">
                                    Submit
                                </button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div> <!-- end col -->
    </div> <!-- end row -->


</div> <!-- container-fluid -->   

<?php include 'footer.php'; ?>