customer_fields.html 1.6 KB

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  1. <div class="group">
  2. <label>
  3. {{? Name }}
  4. </label>
  5. <input
  6. type="text"
  7. name="name"
  8. placeholder="{{? John }}"
  9. value="{{$ name }}"
  10. >
  11. </div>
  12. <div class="group">
  13. <label>
  14. {{? Surname }}
  15. </label>
  16. <input
  17. type="text"
  18. name="surname"
  19. placeholder="{{? Snow }}"
  20. value="{{$ surname }}"
  21. >
  22. </div>
  23. <div class="group">
  24. <label>
  25. {{? Company }}
  26. </label>
  27. <input
  28. type="text"
  29. name="company"
  30. placeholder="{{? Cixo Electronic }}"
  31. value="{{$ company }}"
  32. >
  33. </div>
  34. <div class="group">
  35. <label>
  36. {{? Comments }}
  37. </label>
  38. <input
  39. type="text"
  40. name="comments"
  41. placeholder="{{? Nice customer }}"
  42. value="{{$ comments }}"
  43. >
  44. </div>
  45. <div class="group">
  46. <label>
  47. {{? E-Mail }}
  48. </label>
  49. <input
  50. type="email"
  51. name="email"
  52. value="{{$ email }}"
  53. placeholder="{{? [email protected] }}"
  54. >
  55. </div>
  56. <div class="group">
  57. <label>
  58. {{? Phone number }}
  59. </label>
  60. <input
  61. type="number"
  62. name="phone_number"
  63. value="{{$ phone_number }}"
  64. placeholder="{{? 123456789 }}"
  65. >
  66. </div>
  67. <div class="group">
  68. <label>
  69. {{? Only tester }}
  70. </label>
  71. <input
  72. type="checkbox"
  73. name="tester"
  74. value="true"
  75. {{$ tester }}
  76. >
  77. </div>
  78. <div class="group">
  79. <label for="group">
  80. {{? User group }}
  81. </label>
  82. <select name="group" id="group">
  83. {{$ groups }}
  84. </select>
  85. </div>