<?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;");
?>
<?php
$F->tbContactNotes("float: left; padding-left:0;");
?>
<?php
$F->tbNotVal("Address", "Address", "", "float:left; clear:both;");
?>
<?php
$F->tbNotVal("Address2", "Address Line 2", "", "float:left; padding-left:0");
?>
<h1>Personal Information</h1>
<?php
$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"]);
