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Frank John Begornia
2019-03-06 20:32:31 +08:00
commit 562f03488a
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resources/views/user-layouts/create_address_book.blade.php Normal file
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@extends('user-layouts.user_template')
@section('content')
<div class="content-wrapper" style="min-height: 916px;">
<!-- Content Header (Page header) -->
<section class="content-header">
<h1>
Address Book
<!-- <small>Control panel</small> -->
</h1>
<ol class="breadcrumb">
<li><a href="{{ url ('user') }}"><i class="fa fa-home"></i> Home</a></li>
<li><a href="{{ url ('user/address-book') }}""><i class="fa fa-address-book-o"></i> Address Book</a></li>
<li class="active">Add New Address</li>
</ol>
</section>
<!-- Main content -->
<section class="content">
<div class="row">
<div class="col-md-12">
<div class="box box-primary">
<div class="box-header with-border">
<h3 class="box-title">
Add New Address
</h3>
</div>
<form role="form" id="frm-create-address-book">
<div class="box-body">
<div class="row">
<div class="col-md-6">
<div class="form-group">
<label>Fullname</label>
<input type="text" class="form-control" name="fullname" placeholder="Fullaname">
</div>
<div class="form-group">
<label>Mobile Number</label>
<input type="text" class="form-control" name="mobilenumber" placeholder="Please enter your mobile number">
</div>
<div class="form-group">
<label>Other Notes</label>
<input type="text" class="form-control" name="othernotes" placeholder="Please enter your notes">
</div>
<!-- /.box-body -->
</div>
<div class="col-md-6">
<div class="form-group">
<label>House Number, Building and Street Name</label>
<input type="text" class="form-control" name="address" placeholder="Please enter your House Number, Building and Street Name">
</div>
<div class="form-group">
<label>State</label>
<select class="form-control" name="state" id="lst-states" >
<option value="">Select State</option>
</select>
</div>
<div class="form-group">
<label>City</label>
<select class="form-control" name="city" id="lst-cities">
<option value="">Select City</option>
</select>
</div>
<div class="form-group">
<label>Zip Code</label>
<input type="text" class="form-control" name="zipcode" placeholder="Please enter your zip code">
</div>
</div>
</div>
</div>
<div class="box-footer">
<button type="submit" class="btn btn-primary btn-custom-save">Save</button>
</div>
</form>
<div>
</div>
</div>
</section>
<!-- /.content -->
</div>
@endsection