<div id="exportBox">
	<div class="ModalTitle">
		{% lang 'Refund' %}
	</div>
	<form action="index.php?ToDo=refundOrder&orderid={{ OrderId|raw }}" method="Post" onsubmit="return Order.ValidateRefundForm();">
		<div class="ModalContent">
				<table border="0" cellpadding="0" cellspacing="5" width="100%">
					<tr>
						<td width="10px" align="right" valign="top"><input type='radio' value='full' name="refundType" id="refundType_full" /></td>
						<td class="FieldLabel" align="left"  valign="top">
							<label for="refundType_full">{% lang 'RefundFullAmount' %}</label>
						</td>
					</tr>

					<tr>
						<td align="right" valign="top"><input type='radio' value='partial' name="refundType" id="refundType_partial" /></td>
						<td class="FieldLabel" align="left" valign="top">
							<label for="refundType_partial">{% lang 'RefundPartialAmount' %}</label><br />
							{{ CurrencyToken|raw }}<input style = 'magin-left:50px'  name="refundAmt"  class="Field80" />
						</td>
					</tr>
				</table>
		</div>
		<div id="ModalButtonRow">
			<div class="FloatLeft"><input class="CloseButton" value="Close" onclick="$.modal.close();" type="button"></div>
			<img src="images/loading.gif" alt="" style="display: none;" class="LoadingIndicator">
			<input class="Submit SubmitButton" value="{% lang 'Refund' %}" type="submit">
		</div>
	</form>
</div>