<!--pages/ucenter/applyRefund/applyRefund.wxml-->
<form bindsubmit="saveApplyRefund" report-submit='true'>
  <view class="apply-refund">
    <view class="add-form">
      <view class="form-item-url" wx:for="{{orderGoods}}" wx:key="{{index}}" >
          <image class="order-image" src="{{item.list_pic_url}}"></image>
          <view class="name"><text style='font-size:26rpx;'>{{item.goods_name}}</text></view>
          <view class="name2"><text style='font-size:26rpx;color: rgb(151, 150, 150);'>{{item.goods_specification_name_value}}</text></view>
      </view>
      <view class="form-item">
        <label>退款原因：</label>
        <input class="input" name='refundReason' placeholder="必填" auto-focus/>
      </view>
      <view class="form-item">
        <label>退款金额：</label>
        <text>￥{{refundMoney}}</text>
      </view>
    </view>

    <view class="btns">
      <button class="save" form-type="submit">提交申请</button>
    </view>

  </view>
</form>