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65 lines (58 loc) · 2.1 KB
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<?php include('user/includes1/header.php'); ?>
<div class="container-fluid px-4">
<div class="card mt-4 shadow-sm">
<div style="background-color:#4153B7; color:white; " class="card-header d-flex align-items-center justify-content-between">
<h4 class="mb-0">Add Customer</h4>
<a href="customers.php" class="btn btn-danger">Back</a>
</div>
<div class="card-body">
<?php alertMessage(); ?>
<form action="code.php" method="POST">
<div class="row">
<div class="col-md-6 mb-3">
<label for="">Name *</label>
<input type="text" name="name" required class="form-control">
</div>
<div class="col-md-6 mb-3">
<label for="">Email Id</label>
<input type="email" name="email" class="form-control">
</div>
<div class="col-md-6 mb-3">
<label for="">Phone </label>
<input type="tel" name="phone" class="form-control">
</div>
<div class="col-md-6 mb-3">
<label for="">Address *</label>
<input type="text" name="address" required class="form-control">
</div>
<div class="col-md-4 mb-3">
<label for="">City *</label>
<input type="text" name="city" required class="form-control">
</div>
<div class="col-md-4 mb-3">
<label for="">State *</label>
<input type="text" name="state" required class="form-control">
</div>
<div class="col-md-4 mb-3">
<label for="">Zip Code *</label>
<input type="text" name="zip_code" required class="form-control">
</div>
<div class="col-md-6 mb-3">
<label for="">Country *</label>
<input type="text" name="country" required class="form-control">
</div>
<div class="col-md-6">
<label>Status (UnChecked=Visible, Checked=Hidden)</label>
<br />
<input type="checkbox" name="status" style="width:20px;height:20px" ;>
</div>
<div class="col-md-12 mb-3 text-end">
<br />
<button type="submit" name="saveCustomer" class="btn btn-primary">Save</button>
</div>
</div>
</form>
</div>
</div>
</div>
<?php include('user/includes1/footer.php') ?>