<div class="form-group">
    <label class="col-sm-2 control-label"
           for="input-order-status">{{ entry_order_status }}</label>
    <div class="col-sm-10">
        <select name="payment_grilabs_multi_pos_order_status"
                id="input-order-status" class="form-control">
            {% for order_status in order_statuses %}
                {% if order_status.order_status_id == payment_grilabs_multi_pos_order_status %}
                    <option value="{{ order_status.order_status_id }}"
                            selected="selected">{{ order_status.name }}</option>
                {% else %}
                    <option value="{{ order_status.order_status_id }}">{{ order_status.name }}</option>
                {% endif %}
            {% endfor %}
        </select>
    </div>
</div>

<div class="form-group">
    <label class="col-sm-2 control-label"
           for="input-order-status">{{ entry_order_status_refunded }}</label>
    <div class="col-sm-10">
        <select name="payment_grilabs_multi_pos_order_status_refunded"
                id="input-order-status-refunded" class="form-control">
            {% for order_status in order_statuses %}
                {% if order_status.order_status_id == payment_grilabs_multi_pos_order_status_refunded %}
                    <option value="{{ order_status.order_status_id }}"
                            selected="selected">{{ order_status.name }}</option>
                {% else %}
                    <option value="{{ order_status.order_status_id }}">{{ order_status.name }}</option>
                {% endif %}
            {% endfor %}
        </select>
    </div>
</div>

<div class="form-group">
    <label class="col-sm-2 control-label"
           for="input-geo-zone">{{ entry_geo_zone }}</label>
    <div class="col-sm-10">
        <select name="payment_grilabs_multi_pos_geo_zone_id" id="input-geo-zone"
                class="form-control">
            <option value="0">{{ text_all_zones }}</option>
            {% for geo_zone in geo_zones %}
                {% if geo_zone.geo_zone_id == payment_grilabs_multi_pos_geo_zone_id %}
                    <option value="{{ geo_zone.geo_zone_id }}"
                            selected="selected">{{ geo_zone.name }}</option>
                {% else %}
                    <option value="{{ geo_zone.geo_zone_id }}">{{ geo_zone.name }}</option>
                {% endif %}
            {% endfor %}
        </select>
    </div>
</div>

<div class="form-group">
    <label class="col-sm-2 control-label"
           for="input-status">{{ entry_module_status }}</label>
    <div class="col-sm-10">
        <select name="payment_grilabs_multi_pos_status" id="input-status"
                class="form-control">
            {% if payment_grilabs_multi_pos_status %}
                <option value="1" selected="selected">{{ text_enabled }}</option>
                <option value="0">{{ text_disabled }}</option>
            {% else %}
                <option value="1">{{ text_enabled }}</option>
                <option value="0" selected="selected">{{ text_disabled }}</option>
            {% endif %}
        </select>
    </div>
</div>

<div class="form-group">
    <label class="col-sm-2 control-label"
           for="input-sort-order">{{ entry_sort_order }}</label>
    <div class="col-sm-10">
        <input type="text" name="payment_grilabs_multi_pos_sort_order"
               value="{{ payment_grilabs_multi_pos_sort_order }}"
               placeholder="{{ entry_sort_order }}" id="input-sort-order"
               class="form-control"/>
    </div>
</div>