{!! Form::open(['action' => route('admin_payments_paycredit'), 'class' => 'modal-content form-prevent-multiple-submits', 'enctype' => 'multipart/form-data']) !!}
    <div class="modal-header">
        <h5 class="modal-title">
            {{ __('Einkaufsguthaben') }}
            <span class="font-weight-light">aufladen</span>
        </h5>
        <button type="button" class="close" data-dismiss="modal" aria-label="Close">×</button>
    </div>
    <div class="modal-body">
        <input type="hidden" name="action" value="{{$data['action']}}">
        <input type="hidden" name="id" value="{{$data['id']}}">

     
        <div class="form-row">
            <div class="form-group col-12">
                <label for="member_id" class="form-label">{{ __('Vertriebspartner auswählen') }}*</label>
                <select class="selectpicker" name="member_id"  data-style="btn-light" data-live-search="true" required>
                    {!!  HTMLHelper::getMembersOptions(0, true) !!}
                </select>
            </div>

            <div class="form-group col-12">
                <label class="form-label" for="credit">{{ __('Betrag') }}*</label>
                {{ Form::text('credit', '',  array('placeholder'=>__('in Euro'), 'class'=>'form-control', 'required'=>true)) }}
            </div>

            <div class="form-group col-12">
                <label class="form-label" for="message">{{ __('Mitteilung') }}*</label>
                {{ Form::textarea('message', '' ,  array('placeholder'=>__('Mitteilung'), 'class'=>'form-control', 'rows'=>4, 'required'=>true)) }}
            </div>
        </div>
       
    </div>
    <div class="modal-footer">
        <button type="button" class="btn btn-default" data-dismiss="modal">schließen</button>
        <button type="submit" class="btn btn-primary button-prevent-multiple-submits"><i class="spinner fa fa-spinner fa-spin"></i> {{__('Einkaufsguthaben aufladen')}}</button>

    </div>
{!! Form::close() !!}

<script type="text/javascript">
    $( document ).ready(function() {

    });
</script>