mirror of https://github.com/itflow-org/itflow
62 lines
3.0 KiB
PHP
62 lines
3.0 KiB
PHP
<div class="modal fade" id="editClientLocationModal<?php echo $client_location_id; ?>" tabindex="-1">
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<div class="modal-dialog">
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<div class="modal-content">
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<div class="modal-header">
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<h5 class="modal-title"><i class="fa fa-map-marker"></i> Edit Location</h5>
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<button type="button" class="close" data-dismiss="modal">
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<span aria-hidden="true">×</span>
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</button>
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</div>
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<form action="post.php" method="post" autocomplete="off">
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<input type="hidden" name="client_location_id" value="<?php echo $client_location_id; ?>">
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<div class="modal-body">
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<div class="form-group">
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<label>Location Name</label>
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<div class="input-group">
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<div class="input-group-prepend">
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<span class="input-group-text"><i class="fa fa-user"></i></span>
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</div>
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<input type="text" class="form-control" name="name" placeholder="Name of location" value="<?php echo $client_location_name; ?>" required>
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</div>
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</div>
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<div class="form-group">
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<label>Address</label>
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<div class="input-group">
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<div class="input-group-prepend">
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<span class="input-group-text"><i class="fa fa-map-marker"></i></span>
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</div>
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<input type="text" class="form-control" name="address" placeholder="Address" value="<?php echo $client_location_address; ?>" required>
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</div>
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</div>
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<div class="form-group">
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<input type="text" class="form-control" name="city" placeholder="City" value="<?php echo $client_location_city; ?>" required>
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</div>
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<div class="form-group">
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<select class="form-control" name="state" required>
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<?php foreach($states_array as $state_abbr => $state_name) { ?>
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<option <?php if($client_location_state == $state_abbr) { echo "selected"; } ?> value="<?php echo $state_abbr; ?>"><?php echo $state_name; ?></option>
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<?php } ?>
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</select>
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</div>
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<div class="form-group">
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<input type="text" class="form-control" name="zip" placeholder="Zip" value="<?php echo $client_location_zip; ?>" required>
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</div>
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<div class="form-group">
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<label>Phone</label>
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<div class="input-group">
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<div class="input-group-prepend">
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<span class="input-group-text"><i class="fa fa-phone"></i></span>
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</div>
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<input type="text" class="form-control" name="phone" placeholder="Phone Number" data-inputmask="'mask': '999-999-9999'" value="<?php echo $client_location_phone; ?>" required>
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</div>
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</div>
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</div>
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<div class="modal-footer">
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<button type="button" class="btn btn-secondary" data-dismiss="modal">Cancel</button>
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<button type="submit" name="edit_client_location" class="btn btn-primary">Save</button>
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</div>
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</form>
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</div>
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</div>
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</div>
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