<div class="primary-block">
    <div class="main-content">
        <h1 class="title-content">Chuyển khoản</h1>
    </div>
</div>

<div class="primary-block out-top-20">
    <div class="in-20">

<form id="chuyenkhoan" name="chuyenkhoan" method="post" action="index.php?mod=tiente&act=chuyenkhoan">
	<input type="hidden" name="action" value="chuyenkhoan" />
    <div class="form-3">
        <div class="form-row">
            <div class="form-col-1">&nbsp;</div>
            <div class="form-col-2">
                <div class="caption-block caption-blue">Phí chuyển khoản là <? echo $thue ; ?>%.</b><br />
		Số tiền tối thiểu có thể chuyển : <? echo $giatrimin ; ?>
		</div>
            </div>
        </div>

        <div class="form-row">
            <div class="form-col-1"><span>Số tiền cần chuyển</span></div>
            <div class="form-col-2"><input class="form-style" type="text" name="giatri" id="giatri" maxlength="10"/>
            </div>
        </div>

        <div class="form-row">
            <div class="form-col-1"><span>Chọn loại tiền tệ</span></div>
            <div class="form-col-2">				
		<input type="radio" name="tiente" value="gcoin" checked="checked" /> Gcoin
	      	<input type="radio" name="tiente" value="vpoint" /> Vpoint
            </div>
        </div>

        <div class="form-row">
            <div class="form-col-1"><span>Tài khoản nhận</span></div>
            <div class="form-col-2"><input class="form-style" type="text" name="accnhan" maxlength="10"/>
            </div>
        </div>

        <div class="form-row">
            <div class="form-col-1"><span>Mật khẩu Web</span></div>
            <div class="form-col-2"><input class="form-style" type="password" name="pass2" maxlength="32"/>
            </div>
        </div>

        <div class="form-submit">
            <button class="btn btn-green btn-lg" type="submit" name="Submit">Chuyển Khoản</button>
		</div>
    </div>
</form>
        
    </div>
</div>