mirror of https://github.com/itflow-org/itflow
69 lines
2.7 KiB
PHP
69 lines
2.7 KiB
PHP
<div class="modal" id="addVendorModal" tabindex="-1">
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<div class="modal-dialog modal-lg">
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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-building"></i> New vendor</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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<div class="modal-body">
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<div class="form-group">
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<label>Name</label>
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<input type="text" class="form-control" name="name" required autofocus>
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</div>
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<div class="form-group">
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<label>Description</label>
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<input type="text" class="form-control" name="description">
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</div>
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<div class="form-group">
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<label>Address</label>
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<input type="text" class="form-control" name="address">
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</div>
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<div class="form-row">
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<div class="form-group col">
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<label>City</label>
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<input type="text" class="form-control" name="city">
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</div>
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<div class="form-group col">
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<label>State</label>
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<select class="form-control" name="state">
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<option value="">Select a state...</option>
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<?php foreach($states_array as $state_abbr => $state_name) { ?>
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<option 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 col">
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<label>Zip</label>
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<input type="text" class="form-control" name="zip">
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</div>
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</div>
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<div class="form-row">
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<div class="form-group col">
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<label>Phone</label>
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<input type="text" class="form-control" name="phone">
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</div>
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<div class="form-group col">
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<label>Email</label>
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<input type="email" class="form-control" name="email">
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</div>
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<div class="form-group col">
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<label>Website</label>
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<input type="text" class="form-control" name="website">
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</div>
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</div>
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<div class="form-group">
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<label>Account Number</label>
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<input type="text" class="form-control" name="account_number">
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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="add_vendor" 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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