56 lines
2.0 KiB
Smarty
56 lines
2.0 KiB
Smarty
{include file="sections/header.tpl"}
|
|
|
|
<div class="row">
|
|
<div class="col-sm-12 col-md-12">
|
|
<div class="panel panel-default panel-hovered panel-stacked mb30">
|
|
<div class="panel-heading">{$_L['Add_Contact']}</div>
|
|
<div class="panel-body">
|
|
|
|
<form class="form-horizontal" method="post" role="form" action="{$_url}customers/add-post" >
|
|
<div class="form-group">
|
|
<label class="col-md-2 control-label">{$_L['Username']}</label>
|
|
<div class="col-md-6">
|
|
<input type="text" class="form-control" id="username" name="username" required placeholder="Phone number">
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<label class="col-md-2 control-label">{$_L['Full_Name']}</label>
|
|
<div class="col-md-6">
|
|
<input type="text" required class="form-control" id="fullname" name="fullname">
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<label class="col-md-2 control-label">{$_L['Password']}</label>
|
|
<div class="col-md-6">
|
|
<input type="password" class="form-control" required id="password" name="password">
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<label class="col-md-2 control-label">{$_L['Confirm_Password']}</label>
|
|
<div class="col-md-6">
|
|
<input type="password" class="form-control" required id="cpassword" name="cpassword">
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<label class="col-md-2 control-label">{$_L['Address']}</label>
|
|
<div class="col-md-6">
|
|
<textarea name="address" id="address" class="form-control"></textarea>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
<div class="col-lg-offset-2 col-lg-10">
|
|
<button class="btn btn-primary waves-effect waves-light" type="submit">{$_L['Save']}</button>
|
|
Or <a href="{$_url}customers/list">{$_L['Cancel']}</a>
|
|
</div>
|
|
</div>
|
|
</form>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
|
|
{include file="sections/footer.tpl"}
|