source: main/waeup.kofa/trunk/src/waeup/kofa/students/browser_templates/bedticketaddpage.pt

<form method="POST" i18n:domain="waeup.kofa">
  <table class="form-table">
    <tbody>
      <tal:show_available_beds condition="view/show_available_beds">
        <tr>
          <td i18n:translate="" colspan="2">
            Select your bed before booking acommodation.
            Your choice cannot be changed afterwards.
          </td>
        </tr>
        <tr>
          <td i18n:translate="">
            Desired Bed Space:
          </td>
          <td>
          <span class="form-inline">
            <select class="form-control" id="bed" name="bed">
              <option tal:repeat="bed view/getAvailableBeds"
                      tal:attributes="value bed/bed_id">
              <span tal:replace="bed/temp_bed_coordinates">BED</span>
              </option>
            </select>
          </span>
          </td>
        </tr>
      </tal:show_available_beds>
      <tal:with_ac condition="view/with_ac">
        <tr>
          <td i18n:translate="">
          Activation Code:
          </td>
          <td>
          <span tal:replace="view/ac_prefix">PIN Prefix</span> -
          <input name="ac_series" type="text" maxlength="3"
                 class="ac-input ac-series"
                 value="" tal:attributes="value view/ac_series"/> -
          <input name="ac_number" type="text" maxlength="10"
                 class="ac-input ac-number"
                 value="" tal:attributes="value view/ac_number" />
          <font color="red"><span tal:replace="view/notice">Notice</span>
          </font>
          </td>
        </tr>
        <tr>
          <td>&nbsp;</td>
          <td i18n:translate="">
          The activation code can be found on the payment slip.
          </td>
        </tr>
      </tal:with_ac>
    </tbody>
  </table>
  <br />
  <input type="submit" name="SUBMIT" class="btn btn-primary"
         tal:attributes="value view/buttonname" />
</form>