<form id="retroactively_md_extras_types_form" onsubmit="return false;" action="">
    <div class="ui-dialog-left-menu-big ui-corner-all">
        <p style="text-align:center;">
            <span onclick="dialogMessage.dialogs['retroactively_change_md'].dialog('close');" class="dialog_make_btn32 close smallbtns ui-corner-all" title="{$i.basic_cancel}"></span>
            <span onclick="masterdatamanagement.retroactively.save('md_extras_types')" class="dialog_make_btn32 ok smallbtns ui-corner-all" title="{$i.basic_save}"></span>
        </p>
    </div>
    
    <div class="">
        <div class="ui-dialog-maxheight-scroll">
            <fieldset class="noborder">
                {include file='r/hidden.tpl' name="retroactively_item" default=$retroactively_item}
                {include file='r/date.tpl' name="retroactively_from_date" title="basic_from" collapse='formcoll' class="required dateUS" default=$today->us_date()}
                {include file='r/date.tpl' name="retroactively_to_date" title="basic_to" collapse='formcoll' class="required dateUS" default=$today->us_date()}
            </fieldset>
            <fieldset class="bordertop">
                {include file='r/input.tpl' name="retroactively_rate" title="masterdatamanagement_rate_gross" class="required numberi18n"
                    default=$retroactively_company_gross_rate add_icons_file='warning' past_span_text="`$retroactively_currency_abbreviation` / `$retroactively_unit`"}
                {include file='r/input.tpl' name="retroactively_vat" title="masterdatamanagement_vat" class="numberi18n"
                    default=$retroactively_vat add_icons_file='warning' past_span_text='%'}
            </fieldset>
        </div>
    </div>
</form>