<p> <input type="text" name="locality" id="locality" class="input_small" value="<?php echo $locality; ?> "> <input type="text" name="region" id="region" class="input_mini" value="<?php echo $region; ?> "> <input type="text" name="postal" id="postal" class="input_small" value="<?php echo $postal; ?> "> </p> <div id="place_country"><?php echo country_dropdown('country', config_item('countries'), $country); ?> </div> <a href="#" id="place_map_it">Map It</a> <div class="clear"></div> </div> <div id="place_map"> <h3>Map</h3> <div id="place_map_map" class="map"></div> </div> <div class="clear"></div> <p><input type="button" id="add_details" value="Add More Details"></p> <div id="place_details" style="display:none">
<option <?php if($profile['gender']=='male'){?>selected="selected"<?php }?> value="male">Male</option> <option <?php if($profile['gender']=='female'){?>selected="selected"<?php }?> value="female">Female</option> </select> </dd> <dt><label>Birth Date</label></dt> <dd> <?=$formdate_birth->selectDay()?> <?=$formdate_birth->selectMonth()?> <?=$formdate_birth->selectYear()?> </dd> <dt><label for="mobile_no">Mobile No.</label></dt> <dd><input type="text" size="30" name="mobile_no" value="<?php if(isset($contact->mobile_no)) { echo $contact->mobile_no; } ?>" placeholder="Mobile Number" id="mobile_no" /></dd> <dt><label for="location">City</label></dt> <dd><input type="text" size="30" name="city" value="<?php if(isset($contact->city)) { echo $contact->city; } ?>" placeholder="City" id="city" /> <dt><label for="country">Country</label></dt> <dd><?php echo country_dropdown('country', array('MY','US','GB','DE','BR','IT','ES','AU','NZ','HK'));?> </dd> <dt><label for="lan_speak">Language (speak)</label></dt> <dd><select name="lan_speak"> <option <?php if($profile['lan_speak']=='English'){?>selected="selected"<?php }?> value="English">English</option> <option <?php if($profile['lan_speak']=='Bahasa Malay'){?>selected="selected"<?php }?> value="Bahasa Malay">Bahsa Malay</option> <option <?php if($profile['lan_speak']=='Chinese'){?>selected="selected"<?php }?> value="Chinese">Chinese</option> </select> </dd> <dt><label for="lan_rw">Language (read/write)</label></dt> <dd><select name="lan_rw"> <option <?php if($profile['lan_rw']=='English'){?>selected="selected"<?php }?> value="English">English</option> <option <?php if($profile['lan_rw']=='Bahasa Malay'){?>selected="selected"<?php }?> value="Bahasa Malay">Bahsa Malay</option> <option <?php if($profile['lan_rw']=='Chinese'){?>selected="selected"<?php }?> value="Chinese">Chinese</option> </select> </dd> <dt><label for="specialization">Specialization</label></dt>
<div class="addAddressDiv"> <?php echo form_open('cart/place_order'); echo form_label('Full name:', 'full_name'); echo form_input(array('name' => 'full_name', 'id' => 'full_name', 'placeholder' => ' Enter your full name')); echo form_label('Address:', 'address'); echo form_input(array('name' => 'address', 'id' => 'address_settings', 'placeholder' => 'Enter your address')); echo form_label('City:', 'city'); echo form_input(array('name' => 'city', 'id' => 'city', 'placeholder' => 'Enter your City')); echo form_label('State/Province/Region', 'state'); echo form_input(array('name' => 'state', 'id' => 'state', 'placeholder' => ' Enter your state/province/region')); echo form_label('ZIP/Postal code', 'zip_code'); echo form_input(array('name' => 'zip_code', 'id' => 'zip_code', 'placeholder' => ' Enter your ZIP/Postal code')); echo form_label('Country:', 'country'); echo country_dropdown('country', 'cont', 'dropdown', 'BG', array('US', 'CA', 'GB'), ''); echo form_label('Phone', 'phone'); echo form_input(array('name' => 'phone', 'id' => 'phone', 'placeholder' => ' Enter your phone number')); echo form_hidden('user_id', $user->id); echo form_submit('submit', 'Add address'); echo form_close(); ?> </div> </fieldset> </div> <?php require 'Footer.php';
<div class="form-group"> <label>Client City</label> <input class="form-control" name="client_city" value="<?php echo set_value('client_city'); ?> "/> <?php echo form_error('client_city'); ?> </div> <div class="form-group"> <label>Client Country</label> <?php echo country_dropdown('client_country', 'client_country', 'form-control', set_value('client_country'), array(), ''); ?> <?php echo form_error('client_country'); ?> </div> <div class="form-group"> <label>Client Telephone</label> <input class="form-control" name="client_telephone" value="<?php echo set_value('client_telephone'); ?> "/> <?php echo form_error('client_telephone'); ?>
<table class="dps-shipping-table"> <tbody> <tr class="dps-shipping-location"> <td> <label for=""><?php _e('Ship to', 'dokan'); ?> <span class="dokan-tooltips-help tips" title="<?php _e('The country you ship to', 'dokan'); ?> "> <i class="fa fa-question-circle"></i></span></label> <select name="dps_country_to[]" class="dokan-form-control dps_country_selection" id="dps_country_selection"> <?php country_dropdown($countries, '', false); ?> </select> </td> <td class="dps_shipping_location_cost"> <label for=""><?php _e('Cost', 'dokan'); ?> <span class="dokan-tooltips-help tips" title="<?php _e('If the shipping price is same for all the states, use this field. Else add the states below', 'dokan'); ?> "> <i class="fa fa-question-circle"></i></span></label> <div class="input-group"> <span class="input-group-addon"><?php echo get_woocommerce_currency_symbol();
<?php $data = array("name" => "email", "id" => "email", "class" => "w98", "placeholder" => "Email"); echo form_input($data); ?> <div class="error"><?php echo form_error('email'); ?> </div> <div class="email_error" style="display:none;"></div> </div> <div class="control-group country_gender"> <div class="controls controls-row"> <div class="span4 m0"> <?php echo country_dropdown('reg_country'); ?> <div class="country_error" style="display:none;"></div> </div> <div class="span4 m0"> <?php $gender = array('' => 'Select Gender', 'Male' => 'Male', 'Female' => 'Female'); echo form_dropdown('gender', $gender); ?> <div class="gender_error" style="display:none;"></div> </div> </div> </div> <div class="control-group birth_date"> <?php
<div class="form-group"> <label>Client City</label> <input class="form-control" name="client_city" value="<?php echo isset($client->client_city) ? $client->client_city : ''; ?> "/> <?php echo form_error('client_city'); ?> </div> <div class="form-group"> <label>Client Country</label> <?php echo country_dropdown('client_country', 'client_country', 'form-control', isset($client->client_country) ? $client->client_country : '', array(), ''); ?> <?php echo form_error('client_country'); ?> </div> <div class="form-group"> <label>Client Telephone</label> <input class="form-control" name="client_telephone" value="<?php echo isset($client->client_phone) ? $client->client_phone : ''; ?> "/> <?php echo form_error('client_telephone'); ?>
) </td> </tr> <tr><td></td><td><?php echo form_error('birth-date'); ?> </td></tr> <tr> <th><?php echo $this->lang->line('user_country') . ' <span class="required">*</span> : '; ?> </th> <td> <?php echo country_dropdown('country', array('RO'), _set_value($userdata, 'country', 'RO')); ?> </td> </tr> <tr><td></td><td><?php echo form_error('country'); ?> </td></tr> <tr> <th><?php echo $this->lang->line('user_locality') . ' : '; ?> </th> <td> <input type="text" name="locality" size="16" value="<?php