mirror of
https://gitlab.silvrtree.co.uk/martind2000/censis-obrand.git
synced 2025-01-30 05:40:14 +00:00
63 lines
2.9 KiB
Handlebars
63 lines
2.9 KiB
Handlebars
<!--<div class="container profileCard">-->
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<div class="container profileCard">
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<form {{action "saveCompany" on='submit'}} class="form-horizontal">
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<div class="form-group">
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<label for="company_name" class="col-sm-2 control-label">Company name:</label>
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<div class="col-sm-10">
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{{input id='company_name' placeholder='Company name' valueBinding=model.company_name class="form-control" required="required"}}
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</div>
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</div>
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<br/>
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<div class="form-group">
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<label for="address1" class="col-sm-2 control-label">Address:</label>
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<div class="col-sm-10">
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{{input id='address1' placeholder='Address' valueBinding=model.address1 class="form-control" required="required"}}
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{{input id='address2' placeholder='Address' valueBinding=model.address2 class="form-control" }}
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{{input id='address3' placeholder='Address' valueBinding=model.address3 class="form-control" }}
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</div>
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</div>
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<br/>
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<div class="form-group">
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<label for="town" class="col-sm-2 control-label">Town:</label>
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<div class="col-sm-10">
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{{input id='town' placeholder='Town' valueBinding=model.town class="form-control" required="required"}}
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</div>
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<label for="county" class="col-sm-2 control-label">County:</label>
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<div class="col-sm-10">
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{{input id='county' placeholder='County' valueBinding=model.county class="form-control" }}
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</div>
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<label for="postcode" class="col-sm-2 control-label">Postcode:</label>
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<div class="col-sm-10">
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{{input id='postcode' placeholder='Postcode' valueBinding=model.postcode class="form-control" required="required"}}
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</div>
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</div>
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<br/>
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<div class="form-group">
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<label for="pcontact" class="col-sm-2 control-label">Primary Contact:</label>
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<div class="col-sm-10">
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{{input id='pcontact' placeholder='Primary contact number' valueBinding=model.pcontact class="form-control" required="required"}}
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</div>
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<label for="ocontact" class="col-sm-2 control-label">Other Contact:</label>
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<div class="col-sm-10">
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{{input id='ocontact' placeholder='Other contact phone number' valueBinding=model.ocontact class="form-control" }}
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</div>
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<label for="mobile" class="col-sm-2 control-label">Mobile:</label>
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<div class="col-sm-10">
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{{input id='mobile' placeholder='Mobile phone' valueBinding=model.mobile class="form-control" }}
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</div>
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</div>
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<br/>
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<div class="form-group">
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<label for="email" class="col-sm-2 control-label">Email:</label>
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<div class="col-sm-10">
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{{input id='email' placeholder='Contact email address' valueBinding=model.email class="form-control" required="required"}}
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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-sm-offset-2 col-sm-10">
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<button type="submit" class="btn btn-default">Save</button>
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</div>
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</div>
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</form>
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</div>
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