itflow/add_vendor_modal.php

185 lines
7.7 KiB
PHP

<div class="modal" id="addVendorModal" 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-building mr-2"></i>New Vendor</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">
<input type="hidden" name="client_id" value="<?php echo $client_id; ?>">
<div class="modal-body bg-white">
<ul class="nav nav-pills nav-justified mb-3" id="pills-tab">
<li class="nav-item">
<a class="nav-link active" id="pills-details-tab" data-toggle="pill" href="#pills-details">Details</a>
</li>
<li class="nav-item">
<a class="nav-link" id="pills-address-tab" data-toggle="pill" href="#pills-address">Address</a>
</li>
<li class="nav-item">
<a class="nav-link" id="pills-contact-tab" data-toggle="pill" href="#pills-contact">Contact</a>
</li>
<li class="nav-item">
<a class="nav-link" id="pills-notes-tab" data-toggle="pill" href="#pills-notes">Notes</a>
</li>
</ul>
<hr>
<div class="tab-content" id="pills-tabContent">
<div class="tab-pane fade show active" id="pills-details">
<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-building"></i></span>
</div>
<input type="text" class="form-control" name="name" placeholder="Name" required autofocus>
</div>
</div>
<div class="form-group">
<label>Description <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-angle-right"></i></span>
</div>
<input type="text" class="form-control" name="description" placeholder="Description">
</div>
</div>
<div class="form-group">
<label>Account Number</label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text"><i class="fa fa-fw fa-fingerprint"></i></span>
</div>
<input type="text" class="form-control" name="account_number" placeholder="Account number">
</div>
</div>
</div>
<div class="tab-pane fade" id="pills-address">
<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="Street 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 select2" 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 code" data-inputmask="'mask': '99999'">
</div>
</div>
</div>
<div class="tab-pane fade" id="pills-contact">
<div class="form-group">
<label>Contact Name</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="contact_name" placeholder="Vendor contact name">
</div>
</div>
<label>Phone</label>
<div class="form-row">
<div class="col-8">
<div class="form-group">
<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>
<div class="col-4">
<input type="text" class="form-control" name="extension" placeholder="Extension">
</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">
</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="Website include http://">
</div>
</div>
</div>
<div class="tab-pane fade" id="pills-notes">
<div class="form-group">
<textarea class="form-control" rows="8" name="notes"></textarea>
</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_vendor" class="btn btn-primary">Save</button>
</div>
</form>
</div>
</div>
</div>