62 lines
2.7 KiB
PHP
62 lines
2.7 KiB
PHP
<fieldset>
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<legend>Account Details</legend>
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<?php echo Form::input('email',$o->display('email'),array('label'=>'Email','divclass'=>'col-md-3','placeholder'=>'Email Address','type'=>'email','required','data-error'=>'Invalid EMAIL address')); ?>
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<?php echo Form::input('company',$o->display('company'),array('label'=>'Company','divclass'=>'col-md-3','placeholder'=>'Company Name','required')); ?>
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<div class="form-group">
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<label class="col-md-2 control-label" for="Title">Name</label>
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<div class="row">
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<div class="col-md-1">
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<?php echo Form::select('title',StaticList_Title::table(),$o->display('title'),array('class'=>'form-control','required','nocg'=>TRUE)); ?>
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</div>
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<div class="col-md-2">
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<?php echo Form::input('first_name',$o->display('first_name'),array('class'=>'form-control','placeholder'=>'First Name','required','nocg'=>TRUE)); ?>
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</div>
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<div class="col-md-3">
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<?php echo Form::input('last_name',$o->display('last_name'),array('class'=>'form-control','placeholder'=>'Last Name','required','nocg'=>TRUE)); ?>
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="col-md-2 control-label" for="address1">Address</label>
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<?php echo Form::input('address1',$o->display('address1'),array('divclass'=>'col-md-6','placeholder'=>'Address Line 1','required')); ?>
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<label class="col-md-2 control-label" for="address2"></label>
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<?php echo Form::input('address2',$o->display('address2'),array('divclass'=>'col-md-6','placeholder'=>'Address Line 2')); ?>
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<label class="col-md-2 control-label" for="city"></label>
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<div class="row">
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<div class="col-md-3">
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<?php echo Form::input('city',$o->display('city'),array('class'=>'form-control','label'=>'City','placeholder'=>'City','required','nocg'=>TRUE)); ?>
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</div>
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<div class="col-md-1">
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<?php echo Form::input('state',$o->display('state'),array('class'=>'form-control','placeholder'=>'State','required','nocg'=>TRUE)); ?>
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</div>
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<div class="col-md-1">
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<?php echo Form::input('zip',$o->display('zip'),array('class'=>'form-control','placeholder'=>'Post Code','required','nocg'=>TRUE)); ?>
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="col-md-2 control-label" for="address1">Country</label>
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<div class="col-md-3">
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<?php echo Form::select('country_id',ORM::factory('Country')->list_select(),$o->country_id,array('class'=>'form-control','required','nocg'=>TRUE)); ?>
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</div>
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</div>
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<?php echo Form::hidden('language_id',Site::language()); ?>
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</fieldset>
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<div class="row">
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<div class="col-md-offset-1">
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<button type="submit" class="btn btn-primary">Save changes</button>
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<button type="button" class="btn btn-default">Cancel</button>
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</div>
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</div>
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