Ejemplo n.º 1
0
$F->tbNotVal("PhoneDetails");
?>
						<?php 
$F->tbContactNotes();
?>

					</div>
					<div style="float:left; width:260px; padding:15px">
						<?php 
$F->tbNotVal("Address");
?>
						<?php 
$F->tbNotVal("City");
?>
						<?php 
$F->ddlStates();
?>
						<?php 
$F->tbNotVal("ZipCode");
?>
						<?php 
$F->ddlGeneric("County", "County");
?>
						<?php 
$F->ddlCountries();
?>
						<?php 
$F->submitButton("Create Customer");
?>
						
					</div>
Ejemplo n.º 2
0
$F->tbVal("FirstName", "First Name", "", "float: left;", $user["FirstName"]);
$F->tbVal("LastName", "Last Name", "", "float: left;", $user["LastName"]);
$F->tbNotVal("License", "Driver's License", "", "clear: both; float: left;", $user["License"]);
$F->tbNotVal("Social", "Social Security Number", "", "float: left", $user["Social"]);
$F->tbNotVal("BirthDate", "Birth Date", "", "clear: both;", $user["BirthDate"]);
?>

				<div style="clear: both"></div>
				<h1>Contact Info:</h1>
				<?php 
$firephp->log($AgencyParams);
$F->tbVal("Address1", "Address 1", "", "float: left;", $user["Address"]);
$F->tbNotVal("Address2", "Address 2", "", "float: left;", $user["Address2"]);
$F->ddlHomeType("float:left;", $user["HomeType"]);
$F->tbVal("City", "City", "", "clear: both; float: left", $user["City"]);
$F->ddlStates($user["State"], "State", "State", "float:left;");
$F->tbVal("ZipCode", "Zip Code", "", "float: left", $user["ZipCode"]);
$F->tbVal("Phone", "Phone", "", "clear: both; float: left", $user["Phone"]);
$F->tbVal("Cell", "Cell", "", "float: left", $user["Cell"]);
?>

				<div style="clear: both"></div>
				<h1>Emergency Contact:</h1>
				<?php 
$F->tbNotVal("ContactFirstName", "Contact First Name", "", "float: left;", $user["ContactFirstName"]);
$F->tbNotVal("ContactLastName", "Contact Last Name", "", "float: left;", $user["ContactLastName"]);
$F->tbNotVal("ContactAddress1", "Contact Address 1", "", "clear: both; float: left;", $user["ContactAddress"]);
$F->tbNotVal("ContactAddress2", "Contact Address 2", "", "float: left;", $user["ContactAddress2"]);
$F->tbNotVal("ContactCity", "Contact City", "", "clear: both; float: left", $user["ContactCity"]);
$F->ddlStates($user["ContactState"], "ContactState", "Contact State", "float:left;");
$F->tbNotVal("ContactZipCode", "Contact Zip", "", "float: left", $user["ContactZipCode"]);
Ejemplo n.º 3
0
							<?php 
$F->tbNotVal("Email", "Email", "", "float:left; clear:both;");
?>
							<?php 
$F->tbNotVal("Phone", "Phone", "", "float:left; padding-left:0");
?>
							<?php 
$F->tbNotVal("PhoneDetails", "Phone Details", "", "float:left; padding-left:0");
?>

							<?php 
$F->tbNotVal("license", "Driver's License", "", "float:left;  clear:both;");
?>
							<?php 
$F->ddlStates("AL", "licenseState", "Driver's License Issuing State", "float:left; padding-left:0");
?>
						</ul>
						<div style="clear:both"></div>


						<h1 style="clear:both; background-color:silver; color:#365181; font-size:1.1em;margin:2em 0 0.5em 1.25em; padding:2px 0 2px 5px; width:350px;">Address</h1>

						<ul class="form" >

						<?php 
$F->ddlHomeType("float:left;");
?>
						<?php 
$F->ddlHomeStatus("float: left; padding-left:0;");
?>
Ejemplo n.º 4
0
"  />
							  <input type="hidden" id="tbAddress_val" value="waiting">
							  <div id="tbAddress_msg"></div>
					  </li>  
				 <li class="validated" id="tbCity_li">
							  <label for="r_tbCity">City:</label>
							  <div id="tbCity_img"></div>
							  <input class="validated" name="City" id="tbCity" type="text" maxlength="100" value="<?php 
echo $City;
?>
"  />
							  <input type="hidden" id="tbCity_val" value="waiting">
							  <div id="tbCity_msg"></div>
					  </li>  
				 <?php 
$F->ddlStates($State);
?>
				 <li class="validated" id="tbZipCode_li">
							  <label for="r_tbZipCode">Zip Code:</label>
							  <div id="tbZipCode_img"></div>
							  <input class="validated" name="ZipCode" id="tbZipCode" type="text" maxlength="10" value="<?php 
echo $ZipCode;
?>
"  />
							  <input type="hidden" id="tbZipCode_val" value="waiting">
							  <div id="tbZipCode_msg"></div>
					  </li>
			</div><div style="float:left">
				 <li class="validated" id="tbContactName_li">
							  <label for="r_tbContactName">Contact Name:</label>
							  <div id="tbContactName_img"></div>