#if(!$order)
	#set($order = $data)
#end
$order
<form action="submitrefunds.html">
Subtotal <input type="text" class="form-control" name="subtotal"/>
Tax <input type="text" class="form-control" name="tax"/>
Total <input type="text" class="form-control" name="total"/>
Shipping <input type="text" class="form-control" name="shipping"/>
 <input type="hidden" class="form-control" name="orderid" value="$order.id"/>
 <input type="hidden" class="form-control" name="id" value="$order.id"/>

<input type="submit"/>
</form>