<html lang="ja">
	<head>
		<meta charset="utf-8">
		<script src="../js/jquery.js"></script>
		<script src="../js/common.js"></script>
		<script src="../js/kyc.js"></script>
	</head>
	<body>
		<form action="" method="post" id="acForm" enctype="multipart/form-data">
			<?php $this -> echoMessage(); ?>
			<?php require_once('base_head.php'); ?>
			銀行情報の入力<br/>
			<table>
				<tr>
					<th>アカウント名</th>
					<td>テストユーザ</td>
				</tr>
				<tr>
					<th>送金金額</th>
					<td><input type="text" id="amount" name="amount" value="<?php $this -> echoAmount(); ?>" /></td>
				</tr>
				<tr>
					<th>通貨</th>
					<td>USD</td>
				</tr>
				<tr>
					<th>メッセージ</th>
					<td><textarea id="message" name="message"><?php $this -> echoTransferMessage(); ?></textarea></td>
				</tr>
			</table>
			<input type="button" value="確認する" id="confirm" name="confirm" onclick="actionConfirm();" />
			<input type="hidden" value="<?php $this -> echoFrom(); ?>" name="from" />
			<input type="hidden" value="<?php $this -> echoTo(); ?>" name="to" />
			<input type="hidden" value="confirm" id="type" name="type" />
			<input type="hidden" value="kyc" name="action" />
		</form>
	</body>
</html>