="form-control" type="text">
				</div>
			</div>
			<div class="form-group">	
				<label class="col-sm-3 control-label">银行交易金额：</label>
				<div class="col-sm-8">
					<input id="bankAmount" name="bankAmount" class="form-control" type="text">
				</div>
			</div>
			<div class="form-group">	
				<label class="col-sm-3 control-label">银行退款金额：</label>
				<div class="col-sm-8">
					<input id="bankRefundAmount" name="bankRefundAmount" class="form-control" type="text">
				</div>
		