itflow/add_mileage_modal.php

65 lines
3.0 KiB
PHP

<div class="modal" id="addMileageModal" tabindex="-1">
<div class="modal-dialog">
<div class="modal-content bg-dark">
<div class="modal-header text-white">
<h5 class="modal-title"><i class="fa fa-fw fa-bicycle mr-2"></i>New Trip</h5>
<button type="button" class="close text-white" data-dismiss="modal">
<span aria-hidden="true">&times;</span>
</button>
</div>
<form action="post.php" method="post" autocomplete="off">
<div class="modal-body bg-white">
<div class="form-row">
<div class="form-group col-7">
<label>Date</label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text"><i class="fa fa-fw fa-calendar"></i></span>
</div>
<input type="date" class="form-control" name="date" value="<?php echo date("Y-m-d"); ?>" required>
</div>
</div>
<div class="form-group col-5">
<label>Miles</label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text"><i class="fa fa-fw fa-bicycle"></i></span>
</div>
<input type="number" class="form-control" name="miles" placeholder="Enter miles" required autofocus="autofocus">
</div>
</div>
</div>
<div class="form-group">
<label>Location</label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text"><i class="fa fa-fw fa-map-marker-alt"></i></span>
</div>
<input type="text" class="form-control" name="starting_location" placeholder="Enter your starting location" required>
</div>
</div>
<div class="form-group">
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text"><i class="fa fa-fw fa-arrow-right"></i></span>
</div>
<input type="text" class="form-control" name="destination" placeholder="Enter your destination" required>
</div>
</div>
<div class="form-group">
<label>Purpose</label>
<textarea rows="4" class="form-control" name="purpose" required></textarea>
</div>
<div class="custom-control custom-checkbox">
<input type="checkbox" class="custom-control-input" id="customControlAutosizing" name="roundtrip" value="1" >
<label class="custom-control-label" for="customControlAutosizing">Roundtrip</label>
</div>
</div>
<div class="modal-footer bg-white">
<button type="button" class="btn btn-secondary" data-dismiss="modal">Cancel</button>
<button type="submit" name="add_mileage" class="btn btn-primary">Save</button>
</div>
</form>
</div>
</div>
</div>