sunrise-cms/public/html/contract-editInterment.html

243 lines
7.6 KiB
HTML

<div class="modal" role="dialog">
<div class="modal-background"></div>
<div class="modal-card">
<header class="modal-card-head">
<h3 class="modal-card-title">
Update <span class="alias" data-alias="Occupant"></span>
</h3>
<button
class="delete is-close-modal-button"
aria-label="close"
type="button"
></button>
</header>
<section class="modal-card-body">
<form id="form--contractOccupantEdit">
<input
id="contractOccupantEdit--contractId"
name="contractId"
type="hidden"
value=""
/>
<input
id="contractOccupantEdit--lotOccupantIndex"
name="lotOccupantIndex"
type="hidden"
value=""
/>
<label class="label" for="contractOccupantEdit--lotOccupantTypeId"
><span class="alias" data-alias="Occupant"></span> Type</label
>
<div class="field has-addons">
<div class="control is-expanded">
<div class="select is-fullwidth">
<select
id="contractOccupantEdit--lotOccupantTypeId"
name="lotOccupantTypeId"
required
></select>
</div>
</div>
<div class="control">
<span class="button is-static" id="contractOccupantEdit--fontAwesomeIconClass"></span>
</div>
</div>
<div class="columns mt-2 mb-0">
<div class="column">
<div class="field">
<label class="label" for="contractOccupantEdit--occupantName"
><span class="alias" data-alias="Occupant"></span> Name</label
>
<div class="control">
<input
class="input"
id="contractOccupantEdit--occupantName"
name="occupantName"
type="text"
maxlength="200"
autocomplete="off"
required
/>
</div>
</div>
</div>
<div class="column">
<div class="field">
<label class="label" for="contractOccupantEdit--occupantFamilyName"
>Family Name</label
>
<div class="control">
<input
class="input"
id="contractOccupantEdit--occupantFamilyName"
name="occupantFamilyName"
type="text"
maxlength="200"
autocomplete="off"
/>
</div>
</div>
</div>
</div>
<div class="field">
<label class="label" for="contractOccupantEdit--occupantAddress1"
>Address</label
>
<div class="control">
<input
class="input"
id="contractOccupantEdit--occupantAddress1"
name="occupantAddress1"
type="text"
maxlength="50"
placeholder="Line 1"
autocomplete="off"
/>
</div>
</div>
<div class="field">
<div class="control">
<input
class="input"
id="contractOccupantEdit--occupantAddress2"
name="occupantAddress2"
type="text"
maxlength="50"
placeholder="Line 2"
aria-label="Address Line 2"
autocomplete="off"
/>
</div>
</div>
<div class="columns">
<div class="column">
<div class="field">
<label class="label" for="contractOccupantEdit--occupantCity"
>City</label
>
<div class="control">
<input
class="input"
id="contractOccupantEdit--occupantCity"
name="occupantCity"
type="text"
maxlength="20"
/>
</div>
</div>
</div>
<div class="column">
<div class="field">
<label
class="label"
for="contractOccupantEdit--occupantProvince"
>Province</label
>
<div class="control">
<input
class="input"
id="contractOccupantEdit--occupantProvince"
name="occupantProvince"
type="text"
maxlength="2"
/>
</div>
</div>
</div>
<div class="column">
<div class="field">
<label
class="label"
for="contractOccupantEdit--occupantPostalCode"
>Postal Code</label
>
<div class="control">
<input
class="input"
id="contractOccupantEdit--occupantPostalCode"
name="occupantPostalCode"
type="text"
maxlength="7"
autocomplete="off"
/>
</div>
</div>
</div>
</div>
<div class="columns">
<div class="column">
<label
class="label"
for="contractOccupantEdit--occupantPhoneNumber"
>Phone Number</label
>
<div class="field">
<div class="control has-icons-left">
<input
class="input"
id="contractOccupantEdit--occupantPhoneNumber"
name="occupantPhoneNumber"
type="text"
maxlength="30"
autocomplete="off"
/>
<span class="icon is-small is-left">
<i class="fas fa-phone" aria-hidden="true"></i>
</span>
</div>
</div>
</div>
<div class="column">
<label
class="label"
for="contractOccupantEdit--occupantEmailAddress"
>Email Address</label
>
<div class="field">
<div class="control has-icons-left">
<input
class="input"
id="contractOccupantEdit--occupantEmailAddress"
name="occupantEmailAddress"
type="email"
maxlength="200"
autocomplete="off"
/>
<span class="icon is-small is-left">
<i class="fas fa-envelope" aria-hidden="true"></i>
</span>
</div>
</div>
</div>
</div>
<div class="field">
<label
class="label"
id="contractOccupantEdit--occupantCommentTitle"
for="contractOccupantEdit--occupantComment"
>Comment</label
>
<div class="control">
<textarea
class="textarea"
id="contractOccupantEdit--occupantComment"
name="occupantComment"
></textarea>
</div>
</div>
</form>
</section>
<footer class="modal-card-foot justify-right">
<button
class="button is-success"
type="submit"
form="form--contractOccupantEdit"
>
<span class="icon"><i class="fas fa-plus" aria-hidden="true"></i></span>
<span>Update <span class="alias" data-alias="Occupant"></span></span>
</button>
<button class="button is-close-modal-button" type="button">Cancel</button>
</footer>
</div>
</div>