<fieldset>
    <div class="form-group">
        <label for="amember">Member: </label>
          <input type="text" name="amember" value="<?php echo htmlspecialchars($edit ? $charge['amember'] : '', ENT_QUOTES, 'UTF-8'); ?>" placeholder="Member" class="form-control" required="required" disabled="disabled" id = "amember" >
    </div>

    <div class="form-group">
        <label for="total">Limit</label>
        <input type="number" name="total" value="<?php echo $edit ? $charge['total'] : 30; ?>" placeholder="Limit" class="form-control" required="required" id="total">
    </div>

    <div class="form-group">
        <label for="charges">Uses Left</label>
        <input type="number" name="charges" value="<?php echo $edit ? $charge['charges'] : 0; ?>" placeholder="Charges" class="form-control" required="required" id="charges" disabled="disabled">
    </div>


    <div class="form-group text-center">
        <label></label>
        <button type="submit" class="btn btn-warning" >Save <span class="glyphicon glyphicon-send"></span></button>
    </div>
</fieldset>
