itflow/edit_client_modal.php

60 lines
2.7 KiB
PHP

<div class="modal" id="editClientModal<?php echo $client_id; ?>" tabindex="-1">
<div class="modal-dialog">
<div class="modal-content">
<div class="modal-header">
<h5 class="modal-title"><i class="fa fa-user-edit"></i> Edit Client</h5>
<button type="button" class="close" data-dismiss="modal">
<span aria-hidden="true">&times;</span>
</button>
</div>
<form action="post.php" method="post" autocomplete="off">
<div class="modal-body">
<input type="hidden" name="client_id" value="<?php echo $client_id; ?>" >
<div class="form-group">
<label>Name</label>
<input type="text" class="form-control" name="name" value="<?php echo $client_name; ?>" required>
</div>
<div class="form-group">
<label>Phone</label>
<input type="text" class="form-control" name="phone" data-inputmask="'mask': '999-999-9999'" value="<?php echo $client_phone; ?>" required>
</div>
<div class="form-group">
<label>Email</label>
<input type="email" class="form-control" name="email" value="<?php echo $client_email; ?>" required>
</div>
<div class="form-group">
<label>Website</label>
<input type="text" class="form-control" name="website" value="<?php echo $client_website; ?>">
</div>
<div class="form-group">
<label>Address</label>
<input type="text" class="form-control" name="address" value="<?php echo $client_address; ?>" required>
</div>
<div class="form-group">
<label>City</label>
<input type="text" class="form-control" name="city" value="<?php echo $client_city; ?>" required>
</div>
<div class="form-group">
<label>State</label>
<select class="form-control" name="state" required>
<option value="">Select a state...</option>
<?php
foreach($states_array as $state_abbr => $state_name){
?>
<option <?php if($client_state == $state_abbr) { echo "selected"; } ?> value="<?php echo $state_abbr; ?>"><?php echo $state_name; ?></option>
<?php } ?>
</select>
</div>
<div class="form-group">
<label>Zip</label>
<input type="text" class="form-control" name="zip" value="<?php echo $client_zip; ?>" required>
</div>
</div>
<div class="modal-footer">
<button type="button" class="btn btn-secondary" data-dismiss="modal">Cancel</button>
<button type="submit" name="edit_client" class="btn btn-primary">Save</button>
</div>
</form>
</div>
</div>
</div>