<div>
	<input type="hidden" name="sel" value="step_2">
	<input type="hidden" name="system" value="paygol">
	<input type="hidden" name="rate" id="rate" value="1">
	<div class="text_head">{$system_name}</div>
	<div style="padding-top: 10px;" class="text">{$lang.sms_payments.paygol.toptext}:</div>
	<div style="padding-top: 10px;"><input type="text" name="sum_to_add" value="">&nbsp;{$cur}</div>
	<div style="padding-top: 10px;">
		{*<input type="submit" value="{$lang.button.submit}">*}
		<a class="admin_button_major" onclick="document.sms_systems.submit();">{$lang.button.submit}<span>&nbsp;</span></a>
	</div>
</div>