44 lines
2.0 KiB
HTML
44 lines
2.0 KiB
HTML
<div class="modal-header">
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<button type="button" class="close" ng-click="close()" aria-label="Close"><span aria-hidden="true">×</span></button>
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<h4 class="modal-title">
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<i class="fa fa-check-square-o"></i>
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Verify Bank Account
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</h4>
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</div>
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<form name="form" ng-submit="form.$valid && submit()" api-form="submitPromise" autocomplete="off">
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<div class="modal-body">
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<p>
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Enter the two micro-deposit amounts from your bank account. Both amounts will be less than $1.00 each.
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For example, if we deposited $0.32 and $0.45 you would enter the values "32" and "45".
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</p>
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<div class="callout callout-danger validation-errors" ng-show="form.$errors">
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<h4>Errors have occurred</h4>
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<ul>
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<li ng-repeat="e in form.$errors">{{e}}</li>
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</ul>
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</div>
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<div class="form-group">
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<label for="amount1">Amount 1</label>
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<div class="input-group">
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<span class="input-group-addon">$ 0.</span>
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<input type="number" id="amount1" name="Amount1" ng-model="amount1" class="form-control"
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required min="1" max="99" placeholder="xx" />
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</div>
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</div>
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<div class="form-group">
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<label for="amount2">Amount 2</label>
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<div class="input-group">
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<span class="input-group-addon">$ 0.</span>
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<input type="number" id="amount2" name="Amount2" ng-model="amount2" class="form-control"
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required min="1" max="99" placeholder="xx" />
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</div>
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</div>
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</div>
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<div class="modal-footer">
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<button type="submit" class="btn btn-primary btn-flat" ng-disabled="form.$loading">
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<i class="fa fa-refresh fa-spin loading-icon" ng-show="form.$loading"></i>Submit
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</button>
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<button type="button" class="btn btn-default btn-flat" ng-click="close()">Close</button>
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</div>
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</form>
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