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topnotch_website/resources/views/partials/contacts/create-modal.blade.php

118 lines
5.7 KiB
PHTML

3 months ago
<div class="modal modal-lg fade" id="createContactModal" tabindex="-1" aria-labelledby="createContactModalLabel"
aria-hidden="true">
<div class="modal-dialog">
<div class="modal-content">
<div class="modal-header">
<h1 class="modal-title fs-5" id="createContactModalLabel">Create Contact</h1>
<button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
</div>
<form action="{{route('contacts.store')}}" method="post">
<div class="modal-body">
@csrf
<div class="row mb-3">
<label for="customer_id" class="col-md-4 col-form-label text-md-end">Customer</label>
<div class="col-md-6">
<input type="hidden" name="customer_id" value="{{$customer->id}}">
<select name="customer_id" id="customer_id" class="form-select" disabled>
<option value="{{ $customer->id }}">
{{ $customer->company_name }}
</option>
</select>
@error('customer_id')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
</div>
<div class="row mb-3">
<label for="first_name" class="col-md-4 col-form-label text-md-end">First name</label>
<div class="col-md-6">
<input id="first_name" type="text"
class="form-control @error('first_name') is-invalid @enderror"
name="first_name" value="{{ old('first_name') }}"
autocomplete="first_name" autofocus>
@error('first_name')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
</div>
<div class="row mb-3">
<label for="last_name" class="col-md-4 col-form-label text-md-end">Last name</label>
<div class="col-md-6">
<input id="last_name" type="text"
class="form-control @error('last_name') is-invalid @enderror"
name="last_name" value="{{ old('last_name') }}"
autocomplete="last_name">
@error('last_name')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
</div>
<div class="row mb-3">
<label for="email" class="col-md-4 col-form-label text-md-end">Email</label>
<div class="col-md-6">
<input id="email" type="text"
class="form-control @error('email') is-invalid @enderror" name="email"
value="{{ old('email') }}" autocomplete="email">
@error('email')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
</div>
<div class="row mb-3">
<label for="phone" class="col-md-4 col-form-label text-md-end">Phone number</label>
<div class="col-md-6">
<input id="phone" type="text"
class="form-control @error('phone') is-invalid @enderror" name="phone"
value="{{ old('phone') }}" autocomplete="phone">
@error('phone')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
</div>
<div class="row mb-3">
<label for="notes" class="col-md-4 col-form-label text-md-end">Notes</label>
<div class="col-md-6">
<textarea name="notes" id="notes" cols="30" rows="3" class="form-control"
autocomplete="notes">{{ old('notes') }}</textarea>
@error('notes')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
</div>
</div>
<div class="modal-footer">
<button type="button" class="btn btn-outline-secondary" data-bs-dismiss="modal">Cancel</button>
<button type="submit" class="btn btn-primary">Create contact</button>
</div>
</form>
</div>
</div>
</div>