<div style="z-index:99999" class="modal" id="insertpaymenlinktModal" tabindex="-1" role="dialog" aria-labelledby="editpaymentModalLabel">
  <div class="modal-dialog" role="document" style="margin-top:80px;">
    <div class="modal-content">
      <div class="modal-body" style="padding:0;">
        <div class="row">
          <div class="col-sm-24">
            <div class="modal-header">
              <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button>
              <h4 class="modal-title" id="myModalLabel">支付链接生成</h4>
            </div>
            <div class="col-xs-24" style="padding:0 30px;">
    
              <form id="form-get-payment-link" class="form-horizontal" method="post" action="<?php echo site_url('payment/index');?>">
                <div class="form-group">
                  <label class="control-label" for="inputEmail">类型</label>
                  <div class="controls">
                    <select  class="form-control">
                      <option>paypal</option>
                    </select>
                  </div>
                </div>
                <div class="form-group">
                  <label class="control-label" for="inputEmail">币种</label>
                  <div class="controls">
                    <select  class="form-control">
                      <option>美元</option>
                    </select>
                  </div>
                </div>
                <div class="form-group">
                  <label class="control-label" for="inputEmail">语种</label>
                  <div class="controls">
                    <select  class="form-control">
                      <option>英语</option>
                    </select>
                  </div>
                </div>
                <div class="form-group">
                  <label class="control-label">金额</label>
                  <div class="controls">
                    <input  class="form-control" type="text" id="price" name="price" placeholder="金额" autocomplete="off">
                  </div>
                </div>
                <div class="form-group">
                  <label class="control-label">描述</label>
                  <div class="controls">
                    <textarea rows="3" class="form-control" name="description">
Tracking Code:
Travel Advisor:
Content:</textarea>
                  </div>
                </div>
                
              </form>

            </div>
            <div class="clearfix"></div>
            <div class="modal-footer">
              <div class="col-xs-24" style="padding:0;">
              <button type="button" class="btn btn-default pull-left" data-dismiss="modal">取消</button>
              <button type="button" class="btn btn-primary get_payment_link">保存</button>
              </div>
            </div>
          </div>
          
        </div>
      </div>
      <div class="clearfix"></div>
      
    </div>
  </div>
</div>