<div class="span11">
	<fieldset>
		<legend>Service Information</legend>

		<div class="row">
			<?php echo Form::input('account_id_label',NULL,array('class'=>'span5','label'=>'Account','placeholder'=>'Account','data-provide'=>'typeahead','required')); ?>
			<?php echo Form::hidden('account_id',NULL); ?>
		</div> <!-- /row -->

		<div class="row">
			<?php echo StaticList_YesNo::form('status',NULL,FALSE,array('label'=>'Active','class'=>'span1')); ?>
		</div> <!-- /row -->

		<div class="row">
			<?php echo StaticList_RecurSchedule::form('recur_schedule',NULL,FALSE,array('label'=>'Billing Period','required'));?>
		</div> <!-- /row -->

		<div class="row">
			<div class="input-append date" id="date_next_invoice_label">
				<?php echo Form::input('date_next_invoice_label',Config::date(time()),array('class'=>'span2','label'=>'Date Next Invoice','add-on'=>'<i class="icon-calendar"></i>','disabled')); ?>
			</div>

			<?php echo Form::hidden('date_next_invoice',time()); ?>
		</div> <!-- /row -->

		<div class="row">
			<?php echo StaticList_YesNo::form('taxable',NULL,FALSE,array('label'=>'Taxable','class'=>'span1')); ?>
		</div> <!-- /row -->

		<div class="row">
			<?php echo StaticList_YesNo::form('suspend_billing',NULL,FALSE,array('label'=>'Suspend Billing','class'=>'span1')); ?>
		</div> <!-- /row -->

		<div class="row">
			<?php echo Form::input('price_override',NULL,array('label'=>'Override Price','class'=>'span1')); ?>
		</div> <!-- /row -->

		<div class="row">
			<?php echo Form::select('product_id',ORM::factory('Product')->list_select(TRUE),NULL,array('label'=>'Product','class'=>'span4','sort'=>TRUE)); ?>
		</div> <!-- /row -->
	</fieldset>

	<div id="plugin"></div>

	<div class="row">
		<div class="offset2">
			<button type="submit" class="btn btn-primary">Save changes</button>
			<button type="button" class="btn">Cancel</button>
		</div>
	</div>
</div> <!-- /span -->
