discourse-subscriptions/assets/javascripts/discourse/templates/components/create-coupon-form.hbs

<div class="create-coupon-form">
  <form class="form-horizontal">
    <p>
      <label for="promo_code">{{i18n "discourse_subscriptions.admin.coupons.promo_code"}}</label>
      {{input type="text" name="promo_code" value=promoCode}}
    </p>
    <p>
      <label for="amount">{{i18n "discourse_subscriptions.admin.coupons.discount"}}</label>
      {{combo-box
        content=discountTypes
        value=discountType
        onChange=(action (mut discountType))
      }}
      {{input class="discount-amount" type="text" name="amount" value=discount}}
    </p>
    <p>
      <label for="active">
        {{i18n "discourse_subscriptions.admin.coupons.active"}}
      </label>
      {{input type="checkbox" name="active" checked=active}}
    </p>
  </form>

  {{d-button
    action=(action "createNewCoupon")
    label="discourse_subscriptions.admin.coupons.create"
    title="discourse_subscriptions.admin.coupons.create"
    icon="plus"
    class="btn-primary btn btn-icon"}}
  {{d-button
    action=(action "cancelCreate")
    label="cancel"
    title="cancel"
    icon="times"
    class="btn btn-icon"}}
</div>