echo CHtml::label('Reminder', 'reminder', array('class' => 'control-label col-sm-3 col-md-3 col-lg-3'));
?>
<div class="col-sm-4 col-md-4 col-lg-4">
<?php
echo CHtml::dropDownList('reminder', '', array('1st Reminder' => '1st Reminder', '2nd Reminder' => '2nd Reminder', '3rd Reminder' => '3rd Reminder', '4th Reminder' => '4th Reminder', '5th Reminder' => '5th Reminder', '6th Reminder' => '6th Reminder', '7th Reminder' => '7th Reminder', '8th Reminder' => '8th Reminder', '9th Reminder' => '9th Reminder', '10th Reminder' => '10th Reminder'), array('class' => 'form-control'));
?>
</div>
</div>
<div class="form-group">
<?php
echo CHtml::label('Payment Type', 'payment_type', array('class' => 'control-label col-sm-3 col-md-3 col-lg-3'));
?>
<div class="col-sm-4 col-md-4 col-lg-4">
<?php
echo CHtml::dropDownList('payment_type', '0', PaymentType::getPaymentTypesByText(), array('class' => 'form-control'));
?>
</div>
</div>
<div class="form-group">
<div class="col-sm-offset-3 col-sm-4">
<?php
echo CHtml::submitButton('Submit', array('class' => 'btn btn-primary'));
?>
</div>
</div>
<?php
echo CHtml::endForm();
?>
