         </div>
                </div>

                {/form_field}

                {form_field field='payment-module'}

                <div id="payment-method" class="panel panel-default">
                    <div class="panel-heading">{intl l="Choose your payment method"}</div>

                    {if $error}
                        <span class="help-block"><span class="fa fa-remove"></span> {$message}</span>
                    {/if}

                    <div class="panel-body">
                    