fab-manager/app/frontend/templates/wallet/credit_modal.html

<div class="modal-header">
  <img ng-src="{{logoBlack.custom_asset_file_attributes.attachment_url}}" alt="{{logo.custom_asset_file_attributes.attachment}}" class="modal-logo"/>
  <h1 translate>{{ 'app.shared.wallet.credit_title' }}</h1>
</div>
<div class="modal-body">

  <div class="alert alert-warning m-b-md m-b-sm">
    <i class="fa fa-warning" aria-hidden="true"></i>
    <span translate>{{ 'app.shared.wallet.warning_uneditable_credit' }}</span>
  </div>

  <form name="walletForm" ng-class="{'has-error': walletForm.amount.$dirty && walletForm.amount.$invalid}">
    <div class="text-right amountGroup m-r-md">
      <label for="amount" class="beforeAmount" translate>{{ 'app.shared.wallet.credit_label' }}</label>
      <input class="form-control m-l"
             type="number"
             id="amount"
             name="amount"
             ng-model="amount"
             required min="1"
             step="any">
      <span class="afterAmount">{{currencySymbol}}</span>
      <span class="help-block" ng-show="walletForm.amount.$dirty && walletForm.amount.$error.required" translate>{{'app.shared.wallet.amount_is_required'}}</span>
      <span class="help-block" ng-show="walletForm.amount.$dirty && walletForm.amount.$error.min">{{ 'app.shared.wallet.amount_minimum_1' | translate }} {{currencySymbol}}.</span>
    </div>
    <div class="text-right amountGroup m-t m-r-md" ng-class="{'has-error': walletForm.amount_confirm.$dirty && walletForm.amount_confirm.$invalid }">
      <label for="amount_confirm" class="beforeAmount" translate>{{ 'app.shared.wallet.confirm_credit_label' }}</label>
      <input class="form-control m-l"
             type="number"
             id="amount_confirm"
             name="amount_confirm"
             ng-model="amount_confirm"
             required
             min="1"
             step="any"
             match="amount">
      <span class="afterAmount">{{currencySymbol}}</span>
      <span class="help-block" ng-show="walletForm.amount_confirm.$dirty && walletForm.amount_confirm.$error.required" translate>{{'app.shared.wallet.amount_confirm_is_required'}}</span>
      <span class="help-block" ng-show="walletForm.amount_confirm.$dirty && walletForm.amount_confirm.$error.match">{{ 'app.shared.wallet.amount_confirm_does_not_match' | translate }}</span>
    </div>

    <hr/>
    <div class="text-right m-t" ng-show="$root.modules.invoicing">
      <label for="generate_avoir" translate>{{ 'app.shared.wallet.generate_a_refund_invoice' }}</label>
      <div class="inline m-l">
        <input bs-switch
               ng-model="generate_avoir"
               id="generate_avoir"
               name="generate_avoir"
               type="checkbox"
               switch-on-text="{{ 'app.shared.buttons.yes' | translate }}"
               switch-off-text="{{ 'app.shared.buttons.no' | translate }}"
               switch-animate="true"/>
      </div>
    </div>

    <div ng-show="generate_avoir">
      <div class="m-t" ng-class="{'has-error': walletForm.avoir_date.$dirty && walletForm.avoir_date.$invalid }">
        <label  for="avoir_date" translate>{{ 'app.shared.wallet.creation_date_for_the_refund' }}</label>
          <div class="input-group">
            <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
            <input type="text"
                   class="form-control"
                   id="avoir_date"
                   name="avoir_date"
                   ng-model="avoir_date"
                   uib-datepicker-popup="{{datePicker.format}}"
                   datepicker-options="datePicker.options"
                   is-open="datePicker.opened"
                   placeholder="{{datePicker.format}}"
                   ng-click="toggleDatePicker($event)"
                   ng-required="generate_avoir"/>
          </div>
        <span class="help-block" ng-show="walletForm.avoir_date.$dirty && walletForm.avoir_date.$error.required" translate>{{ 'app.shared.wallet.creation_date_is_required' }}</span>
      </div>

      <div class="m-t">
        <label for="description" translate>{{ 'app.shared.wallet.description_optional' }}</label>
        <p translate>{{ 'app.shared.wallet.will_appear_on_the_refund_invoice' }}</p>
        <textarea class="form-control m-t-sm"
                  id="description"
                  name="description"
                  ng-model="description">
        </textarea>
      </div>
    </div>
  </form>

</div>
<div class="modal-footer">
  <button class="btn btn-info" ng-click="ok()" ng-disabled="walletForm.$invalid || attempting" translate>{{ 'app.shared.buttons.confirm' }}</button>
  <button class="btn btn-default" ng-click="cancel()" translate>{{ 'app.shared.buttons.cancel' }}</button>
</div>