Your IP : 216.73.216.26


Current Path : /home2/wtmwscom/www/member/
Upload File :
Current File : /home2/wtmwscom/www/member/reject_1.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'];
?>
    <h1>Reject Payment Request</h1>
    <?php echo getMessage();?>
    <section id="comments">
        <form action="reject_model.php" name="form" id="form" method="post" enctype="multipart/form-data">
          <p>
            <label for="subject">Subject <span>*</span></label>
            <input type="text" name="subject" id="subject" required="required" maxlength="100">
          </p>
          <p>
            <label for="message">Message <span>*</span></label>
            <textarea name="message" id="message" required="required" style="width: 30%;"></textarea>
          </p>
          <p>
            <label for="receipt">Select File <span></span></label>
            <input type="file" name="receipt" id="receipt">
          </p>
          <p><br />
              <input type="hidden" name="help_id" value="<?php echo $help_id;?>" />
              <input style="position: relative; left: 160px;" name="submit" type="submit" id="submit" value="Submit">
          </p>
        </form>
      </section>
<?php include 'footer.php';?>