<form data-enhancement>
    <p>
        <?php echo __('An enhanced conversion should be uploaded within 24 hours of the original conversion. We recommend uploading at least several minutes before the end of the 24-hour period for a margin of safety from differences between system clocks.') ?>
    </p>
    <table class="admin__control-table">
        <thead>
            <tr>
                <th></th>
                <th>Conversion Field</th>
            </tr>
        </thead>
        <tbody>
            <tr>
                    <td><?php echo __('Transaction') ?></td>
                    <td><strong><?php echo $block->getOrderId() ?></strong></td>
                </tr>
            <?php foreach($block->getFields() as $key => $field) : ?>
                <tr>
                    <td><?php echo $field['label'] ?></td>
                    <td>
                    <input type="<?php echo $field['type'] ?>" class="input-text admin__control-text" name="<?php echo $key ?>" value="<?php echo $field['value'] ?>" <?php if (isset($field['readonly'])): ?>readonly<?php endif ?> />
                        <?php if (isset($field['note'])) : ?>
                            <small>
                                <?php echo $field['note'] ?>
                            </small>
                        <?php endif ?>
                    </td>
                </tr>
            <?php endforeach ?>
        </tbody>
    </table>
</form>