{form name=$form_name}
    {form_hidden_fields form=$form}

    {render_form_field form=$form field="success_url" value={$success_url|default:{url path='/admin/module/LivraisonParSecteurs'}}}

    {form_field form=$form field="title"}
    <div class="form-group">
        <label class="control-label" for="{$label_attr.for}">
            {intl l=$label d="livraisonparsecteurs"}
            {if $required}<span class="required">*</span>{/if}
        </label>

        {form_error form=$form field="title"}{$message}{/form_error}
        <input type="text" class="form-control" name="{$name}" id="{$label_attr.for}" value="{$TITLE}" {if $required}required{/if} />
    </div>
    {/form_field}

    {form_field form=$form field="price"}
    <div class="form-group form-inline">
        <label class="control-label" for="{$label_attr.for}">
            {intl l=$label d='livraisonparsecteurs'}
            {if $required}<span class="required">*</span>{/if}
        </label>

        <input type="text" id="{$label_attr.for}" class="form-control etroit" name="{$name}" value="{$PRICE}" {if $required}required{/if} />&nbsp;€
    </div>
    {form_error form=$form field="price"}{$message}{/form_error}
    {/form_field}

    {form_field form=$form field="minimum_amount"}
    <div class="form-group form-inline">
        <label class="control-label" for="{$label_attr.for}">
            {intl l=$label d='livraisonparsecteurs'}
            {if $required}<span class="required">*</span>{/if}
        </label>

        <input type="text" id="{$label_attr.for}" class="form-control etroit" name="{$name}" value="{$MINIMUM_AMOUNT}" {if $required}required{/if} />&nbsp;€
    </div>
    {form_error form=$form field="minimum_amount"}{$message}{/form_error}
    {/form_field}

    {form_field form=$form field="active"}
    <input type="hidden" id="{$label_attr.for}" name="{$name}" value="1"/>
    {/form_field}

{/form}