{include file="sections/header.tpl"}

<div class="row">
    <div class="col-sm-12 col-md-12">
        <div class="panel panel-primary panel-hovered panel-stacked mb30">
            <div class="panel-heading">{$_L['Edit_Contact']}</div>
            <div class="panel-body">

                <form class="form-horizontal" method="post" role="form" action="{$_url}customers/edit-post">
                    <input type="hidden" name="id" value="{$d['id']}">
                    <div class="form-group">
                        <label class="col-md-2 control-label">{$_L['Username']}</label>
                        <div class="col-md-6">
                            <div class="input-group">
                                {if $_c['country_code_phone']!= ''}
                                    <span class="input-group-addon" id="basic-addon1">+</span>
                                {else}
                                    <span class="input-group-addon" id="basic-addon1"><i
                                            class="glyphicon glyphicon-phone-alt"></i></span>
                                {/if}
                                <input type="text" class="form-control" name="username" value="{$d['username']}"
                                    required
                                    placeholder="{if $_c['country_code_phone']!= ''}{$_c['country_code_phone']}{/if} {$_L['Phone_Number']}">
                            </div>
                        </div>
                    </div>
                    <div class="form-group">
                        <label class="col-md-2 control-label">{$_L['Full_Name']}</label>
                        <div class="col-md-6">
                            <input type="text" class="form-control" id="fullname" name="fullname"
                                value="{$d['fullname']}">
                        </div>
                    </div>
                    <div class="form-group">
                        <label class="col-md-2 control-label">{$_L['Email']}</label>
                        <div class="col-md-6">
                            <input type="email" class="form-control" id="email" name="email" value="{$d['email']}">
                        </div>
                    </div>
                    <div class="form-group">
                        <label class="col-md-2 control-label">{$_L['Phone_Number']}</label>
                        <div class="col-md-6">
                            <div class="input-group">
                                {if $_c['country_code_phone']!= ''}
                                    <span class="input-group-addon" id="basic-addon1">+</span>
                                {else}
                                    <span class="input-group-addon" id="basic-addon1"><i
                                            class="glyphicon glyphicon-phone-alt"></i></span>
                                {/if}
                                <input type="text" class="form-control" name="phonenumber" value="{$d['phonenumber']}"
                                    placeholder="{if $_c['country_code_phone']!= ''}{$_c['country_code_phone']}{/if} {$_L['Phone_Number']}">
                            </div>
                        </div>
                    </div>
                    <div class="form-group">
                        <label class="col-md-2 control-label">{$_L['Password']}</label>
                        <div class="col-md-6">
                            <input type="password" autocomplete="off" class="form-control" id="password" name="password"
                                onmouseleave="this.type = 'password'" onmouseenter="this.type = 'text'"
                                value="{$d['password']}">
                            <span class="help-block">{$_L['password_change_help']}</span>
                        </div>
                    </div>
                    <div class="form-group">
                        <label class="col-md-2 control-label">{Lang::T('PPPOE Password')}</label>
                        <div class="col-md-6">
                            <input type="password" autocomplete="off" class="form-control" id="pppoe_password"
                                name="pppoe_password" value="{$d['pppoe_password']}"
                                onmouseleave="this.type = 'password'" onmouseenter="this.type = 'text'">
                            <span
                                class="help-block">{Lang::T('User Cannot change this, only admin. if it Empty it will use user password')}</span>
                        </div>
                    </div>
                    <div class="form-group">
                        <label class="col-md-2 control-label">{$_L['Address']}</label>
                        <div class="col-md-6">
                            <textarea name="address" id="address" class="form-control">{$d['address']}</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"}