<%@ page language="java" contentType="text/html;charset=UTF-8"%>
<%@ taglib prefix="c" uri="http://java.sun.com/jsp/jstl/core" %>
<%@ taglib uri="http://java.sun.com/jsp/jstl/fmt" prefix="fmt" %>
<div class="modal-header bg-1f96ef">
	<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button>
	<h4 class="modal-title">绑定银行卡</h4>
</div>
<form id="bankCardForm">
	<div class="modal-body">
		<p>
			<label>开户银行</label>
			<input Data-Val="Required" type="text" class="form-control" name="bankName" id="bankName" value="${bankCardVo.bankName }" />
		</p>
		<p><!-- has-loser has-feedback -->
			<label>开户行所在城市</label>
            <div class="clearfix">
            <select Data-Val="Required" name="bankProvince" id="bankProvince" class="form-control" style="margin-right: 10px;width:100px;background:url(<c:url value='/resources/versions-2.0/images/public/select-btn.jpg' />) 97% no-repeat  #fafafc;" onchange="javascript:changeDistrict('bankCity', 'district', '2', this);">
                <option value="">省</option>
                <c:forEach items="${provinceList }" var="list">
                    <option value="${list.oid }" <c:if test="${list.oid eq bankCardVo.bankProvince }"> selected="selected"</c:if>>${list.province }</option>
                </c:forEach>
            </select>&nbsp;&nbsp;
            <select Data-Val="Required" name="bankCity" id="bankCity" class="form-control" style="margin-right: 10px;width:100px;background:url(<c:url value='/resources/versions-2.0/images/public/select-btn.jpg' />) 97% no-repeat  #fafafc;">
                <option value="">市</option>
                <c:forEach items="${cityList }" var="list">
                    <option value="${list.oid }" <c:if test="${list.oid eq bankCardVo.bankCity}"> selected="selected"</c:if>>${list.citytype }</option>
                </c:forEach>
            </select>
            </div>
		</p>
	 	<p>
	 		<label>户主名称</label>
	 		<input Data-Val="Required" type="text" class="form-control" name="bankAccountName" id="bankAccountName" value="${bankCardVo.bankAccountName }" />
	 	</p>
	 	<p>
	 		<label>银行卡号</label>
	 		<input Data-Val="Required" type="text" class="form-control" name="bankAccount" id="bankAccount" value="${bankCardVo.bankAccount }" />
	 	</p>
	 	<p>
	 		<label>银行预留联系电话</label>
	 		<input Data-Val="Required" type="text" class="form-control" name="bankPhone" id="bankPhone" value="${bankCardVo.bankPhone }" />
	 	</p>
	</div>
	<div class="modal-footer">
		<div class="mofo-sub">
			<button type="button" class="btn pull-left cancel-btn" data-dismiss="modal">取消</button>
			<button type="button" class="btn notarize-btn pull-right" onclick="bankCardFormChange();">提交</button>
		</div>
	</div> 
</form> 
<script>

</script>