mirror of
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33 lines
1.7 KiB
PHP
33 lines
1.7 KiB
PHP
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<div class="modal-dialog">
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<div class="modal-content">
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<div class="modal-header">
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<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button>
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<h4 class="modal-title">{{ trans('general.location') }}</h4>
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</div>
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<div class="modal-body">
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<div class="alert alert-danger" id="modal_error_msg" style="display:none">
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</div>
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<div class="dynamic-form-row">
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<div class="col-md-4 col-xs-12"><label for="modal-name">{{ trans('general.name') }}:
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</label></div>
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<div class="col-md-8 col-xs-12 required"><input type='text' id='modal-name' class="form-control"></div>
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</div>
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<div class="dynamic-form-row">
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<div class="col-md-4 col-xs-12"><label for="modal-city">{{ trans('general.city') }}:</label></div>
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<div class="col-md-8 col-xs-12 required"><input type='text' id='modal-city' class="form-control"></div>
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</div>
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<div class="dynamic-form-row">
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<div class="col-md-4 col-xs-12 country"><label for="modal-country">{{ trans('general.country') }}:</label></div>
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<div class="col-md-8 col-xs-12">{!! Form::countries('country', Input::old('country'), 'select2 country',"modal-country") !!}</div>
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</div>
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</div>
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<div class="modal-footer">
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<button type="button" class="btn btn-default" data-dismiss="modal">{{ trans('button.cancel') }}</button>
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<button type="button" class="btn btn-primary" id="modal-save">{{ trans('general.save') }}</button>
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</div>
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</div><!-- /.modal-content -->
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</div><!-- /.modal-dialog -->
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