forked from kevinowino869/mitrobill
77 lines
3.6 KiB
Smarty
77 lines
3.6 KiB
Smarty
{include file="sections/header.tpl"}
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<div class="row">
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<div class="col-sm-12 col-md-12">
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<div class="panel panel-primary panel-hovered panel-stacked mb30">
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<div class="panel-heading">{$_L['Add_Contact']}</div>
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<div class="panel-body">
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<form class="form-horizontal" method="post" role="form" action="{$_url}customers/add-post" >
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<div class="form-group">
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<label class="col-md-2 control-label">{$_L['Username']}</label>
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<div class="col-md-6">
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<div class="input-group">
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<span class="input-group-addon">+</span>
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<input type="text" class="form-control" name="username" required
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placeholder="{if $_c['country_code_phone']!= ''}{$_c['country_code_phone']}{/if} {$_L['Phone_Number']}">
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="col-md-2 control-label">{$_L['Full_Name']}</label>
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<div class="col-md-6">
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<input type="text" required class="form-control" id="fullname" name="fullname">
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</div>
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</div>
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<div class="form-group">
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<label class="col-md-2 control-label">{$_L['Email']}</label>
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<div class="col-md-6">
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<input type="email" class="form-control" id="email" name="email">
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</div>
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</div>
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<div class="form-group">
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<label class="col-md-2 control-label">{$_L['Phone_Number']}</label>
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<div class="col-md-6">
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<div class="input-group">
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<span class="input-group-addon">+</span>
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<input type="text" class="form-control" name="phonenumber"
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placeholder="{if $_c['country_code_phone']!= ''}{$_c['country_code_phone']}{/if} {$_L['Phone_Number']}">
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="col-md-2 control-label">{$_L['Password']}</label>
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<div class="col-md-6">
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<input type="text" class="form-control" autocomplete="off" required id="password" name="password">
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</div>
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</div>
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<div class="form-group">
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<label class="col-md-2 control-label">{Lang::T('PPPOE Password')}</label>
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<div class="col-md-6">
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<input type="password" class="form-control" id="pppoe_password" name="pppoe_password" value="{$d['pppoe_password']}">
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<span class="help-block">{Lang::T('User Cannot change this, only admin. if it Empty it will use user password')}</span>
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</div>
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</div>
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<div class="form-group">
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<label class="col-md-2 control-label">{$_L['Address']}</label>
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<div class="col-md-6">
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<textarea name="address" id="address" class="form-control"></textarea>
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</div>
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</div>
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<div class="form-group">
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<div class="col-lg-offset-2 col-lg-10">
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<button class="btn btn-primary waves-effect waves-light" type="submit">{$_L['Save']}</button>
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Or <a href="{$_url}customers/list">{$_L['Cancel']}</a>
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</div>
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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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</div>
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</div>
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{include file="sections/footer.tpl"}
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