source: main/waeup.kofa/trunk/src/waeup/kofa/applicants/browser_templates/balancepaymentaddform.pt

<form action="." tal:attributes="action request/URL" method="post"
      enctype="multipart/form-data" i18n:domain="waeup.kofa">

  <table class="form-table">
    <tbody>
      <tal:widgets content="structure provider:widgets" />
      <tr tal:condition="view/selectable_payment_options">
        <td i18n:translate="" class="fieldname">
          Payment Option:
        </td>
        <td>
          <select id="form.p_option" name="form.p_option" size="1"
                  class="form-control half" onclick="further()">
            <option tal:repeat="item view/selectable_payment_options"
                    tal:attributes="value python:item[0]">
              <span tal:replace="python:item[1]">PAYMENT OPTION</span>
            </option>
          </select>
        </td>
      </tr>
      <tal:files content="structure provider:files" />
    </tbody>
  </table>
  <br />
  <div tal:condition="view/availableActions">
    <input tal:repeat="action view/actions"
           tal:replace="structure action/render"
           />
  </div>
</form>