<input type="hidden" name="max_dunning_level" value="[% HTML.escape(max_dunning_level) %]">
<input type="hidden" name="media" value="[% HTML.escape(media) %]">
<input type="hidden" name="message" value="[% HTML.escape(message) %]">
- <input type="hidden" name="payment_id" value="[% HTML.escape(payment_id) %]">
<input type="hidden" name="printed" value="[% HTML.escape(printed) %]">
<input type="hidden" name="proforma" value="[% HTML.escape(proforma) %]">
<input type="hidden" name="queued" value="[% HTML.escape(queued) %]">