= form_tag paypal_refund_admin_order_payment_path(@order, @payment) do
  .label-block.left.five.columns.alpha
    %div
      %fieldset
        %legend= Spree.t('refund', :scope => :paypal)
        .field
          = label_tag 'refund_amount', Spree.t(:refund_amount, :scope => 'paypal')
          %small
            %em= Spree.t(:original_amount, :scope => 'paypal', :amount => @payment.display_amount)
          %br/
          - symbol = ::Money.new(1, Spree::Config[:currency]).symbol
          - if Spree::Config[:currency_symbol_position] == "before"
            = symbol
            = text_field_tag 'refund_amount', @payment.amount
          - else
            = text_field_tag 'refund_amount', @payment.amount
            = symbol
        = button Spree.t(:refund, :scope => 'paypal'), 'icon-dollar'