Sha256: 03870fed3f6dc2e330e24e5c11cc977ec811482e4534e833a74d93b4216fc639
Contents?: true
Size: 1.97 KB
Versions: 9
Compression:
Stored size: 1.97 KB
Contents
<%= form_for([@member_address.profile, @member_address], url: form_url) do |f| %>
<!-- PHC-Notifi Render Validation -->
<%= render 'phcnotifi/validations', :object => @member_address %>
<!-- PHC-Notifi Render Validation -->
<!-- Form Fields -->
<div class="form-group field_with_errors">
<label><%= f.label :mcaddressl1, "Address Line1" %></label>
<%= f.text_field :mcaddressl1, class: "form-control", placeholder: "Address Line 1 - Street Address" %>
</div>
<div class="form-group field_with_errors">
<label><%= f.label :mcaddressl2, "Address Line2" %></label>
<%= f.text_field :mcaddressl2, class: "form-control", placeholder: "Address Line 2 - Box - Suite - Floor" %>
</div>
<div class="form-group field_with_errors">
<label><%= f.label :mccity, "City" %></label>
<%= f.text_field :mccity, class: "form-control", placeholder: "City" %>
</div>
<div class="form-group field_with_errors">
<label><%= f.label :mcprovince, "Province/State" %></label>
<%= f.text_field :mcprovince, class: "form-control", placeholder: "Province/State" %>
</div>
<div class="form-group field_with_errors">
<label><%= f.label :mccountry, "Country" %></label>
<%= country_select("member_address", "mccountry", { priority_countries: ["CA", "GB", "FR", "US"], selected: "CA" }, { class: 'form-control', data: { attribute: "value" } }) %>
</div>
<div class="form-group field_with_errors">
<label><%= f.label :mcpostalcode, "PostalCode" %></label>
<%= f.text_field :mcpostalcode, class: "form-control", placeholder: "PostalCode" %>
</div>
<div class="form-group field_with_errors">
<label><%= f.label :mctype, "Address Type" %></label>
<%= f.select :mctype, [['Billing Address','Billing'],['Street Address','Street'],['Mailing Address','Mailing'],['Home Address','Home'],['Business Address','Business']], {}, class: "form-control" %>
</div>
<!-- Form Fields -->
<!-- Form Button -->
<div class="actions">
<%= f.submit class: "btn btn-primary" %>
</div>
<!-- Form Button -->
<% end %>
Version data entries
9 entries across 9 versions & 1 rubygems