itflow/add_client_modal.php

181 lines
8.1 KiB
PHP

<div class="modal" id="addClientModal" 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-user mr-2"></i>New Client</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">
<ul class="nav nav-pills nav-justified mb-3" id="pills-tab" role="tablist">
<li class="nav-item">
<a class="nav-link active" id="pills-basic-tab" data-toggle="pill" href="#pills-basic" role="tab" aria-controls="pills-basic" aria-selected="true">Basic</a>
</li>
<li class="nav-item">
<a class="nav-link" id="pills-address-tab" data-toggle="pill" href="#pills-address" role="tab" aria-controls="pills-address" aria-selected="false">Address</a>
</li>
<li class="nav-item">
<a class="nav-link" id="pills-contact-tab" data-toggle="pill" href="#pills-contact" role="tab" aria-controls="pills-contact" aria-selected="false">Contact</a>
</li>
<li class="nav-item">
<a class="nav-link" id="pills-more-tab" data-toggle="pill" href="#pills-more" role="tab" aria-controls="pills-more" aria-selected="false">More</a>
</li>
</ul>
<hr>
<div class="tab-content" id="pills-tabContent">
<div class="tab-pane fade show active" id="pills-basic" role="tabpanel" aria-labelledby="pills-basic-tab">
<div class="form-group">
<label>Name <strong class="text-danger">*</strong></label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text"><i class="fa fa-fw fa-user"></i></span>
</div>
<input type="text" class="form-control" name="name" placeholder="Name or Company" required autofocus>
</div>
</div>
<div class="form-group">
<label>Type <strong class="text-danger">*</strong></label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text"><i class="fa fa-fw fa-list"></i></span>
</div>
<select class="form-control selectpicker show-tick" data-live-search="true" name="type" required>
<option value="">- Type -</option>
<?php foreach($client_types_array as $client_type) { ?>
<option><?php echo $client_type; ?></option>
<?php } ?>
</select>
</div>
</div>
</div>
<div class="tab-pane fade" id="pills-address" role="tabpanel" aria-labelledby="pills-address-tab">
<div class="form-group">
<label>Address</label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text"><i class="fa fa-fw fa-map-marker-alt"></i></span>
</div>
<input type="text" class="form-control" name="address" placeholder="Address">
</div>
</div>
<div class="form-group">
<label>City</label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text"><i class="fa fa-fw fa-city"></i></span>
</div>
<input type="text" class="form-control" name="city" placeholder="City">
</div>
</div>
<div class="form-group">
<label>State</label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text"><i class="fa fa-fw fa-flag"></i></span>
</div>
<select class="form-control selectpicker show-tick" data-live-search="true" name="state">
<option value="">- State -</option>
<?php foreach($states_array as $state_abbr => $state_name) { ?>
<option value="<?php echo $state_abbr; ?>"><?php echo $state_name; ?></option>
<?php } ?>
</select>
</div>
</div>
<div class="form-group">
<label>Zip</label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text"><i class="fab fa-fw fa-usps"></i></span>
</div>
<input type="text" class="form-control" name="zip" placeholder="Zip" data-inputmask="'mask': '99999'">
</div>
</div>
</div>
<div class="tab-pane fade" id="pills-contact" role="tabpanel" aria-labelledby="pills-contact-tab">
<div class="form-group">
<label>Phone</label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text"><i class="fa fa-fw fa-phone"></i></span>
</div>
<input type="text" class="form-control" name="phone" placeholder="Phone Number" data-inputmask="'mask': '999-999-9999'">
</div>
</div>
<div class="form-group">
<label>Email</label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text"><i class="fa fa-fw fa-envelope"></i></span>
</div>
<input type="email" class="form-control" name="email" placeholder="Email Address">
</div>
</div>
<div class="form-group">
<label>Website</label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text"><i class="fa fa-fw fa-globe"></i></span>
</div>
<input type="text" class="form-control" name="website" placeholder="Web Address">
</div>
</div>
</div>
<div class="tab-pane fade" id="pills-more" role="tabpanel" aria-labelledby="pills-more-tab">
<div class="form-group">
<label>Hours</label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text"><i class="fa fa-fw fa-clock"></i></span>
</div>
<input type="text" class="form-control" name="hours" placeholder="Hours of operation">
</div>
</div>
<div class="form-group">
<label>Invoice Net Terms</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>
<select class="form-control selectpicker show-tick" name="net_terms">
<?php foreach($net_terms_array as $net_term_value => $net_term_name) { ?>
<option value="<?php echo $net_term_value; ?>"><?php echo $net_term_name; ?></option>
<?php } ?>
</select>
</div>
</div>
</div>
</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_client" class="btn btn-primary">Save</button>
</div>
</form>
</div>
</div>
</div>