<%= form_for([@members_listing.main, @members_listing], url: members_main_listings_path) do |f| %> <%= render 'layouts/phcnotifi/components/validations', :object => @members_listing %>

<%= f.label :mlcontactname, "Company Contact" %> <%= f.text_field :mlcontactname, class: 'form-control', placeholder: 'Contact Name for Company' %>

<%= f.label :mlcompanyname, "Company/Organization's Name*" %> <%= f.text_field :mlcompanyname, class: 'form-control', placeholder: 'Name of Business or Organization' %>

<%= f.label :mladdressl1, "Address Line1*" %> <%= f.text_field :mladdressl1, class: 'form-control', placeholder: 'Main Street Address' %>

<%= f.label :mladdressl2, "Address Line2" %> <%= f.text_field :mladdressl2, class: 'form-control', placeholder: 'Adress Info Like Box or POBox Number' %>

<%= f.label :mlcity, "City" %> <%= f.text_field :mlcity, class: 'form-control', placeholder: 'City' %>

<%= f.label :mlprovince, "Province or State" %> <%= f.text_field :mlprovince, class: 'form-control', placeholder: 'Province or State' %>

<%= f.label :mlcountry, "Country" %> <%= country_select("members_listing", "mlcountry", { priority_countries: ["CA", "GB", "FR", "US"], selected: "CA" }, { class: 'form-control', data: { attribute: "value" } }) %>

<%= f.label :mlpostalcode, "PostalCode" %> <%= f.text_field :mlpostalcode, class: 'form-control', placeholder: 'PostalCode' %>

<%= f.label :mlphone, "Listing Phone Number" %> <%= f.text_field :mlphone, class: "form-control masked", placeholder: "General Company Phone Number", data: {format: '(999) 999-999999', placeholder: 'x'} %>

<%= f.label :mlwebsite, "Company Website" %> <%= f.text_field :mlwebsite, class: 'form-control', placeholder: 'Company Website' %>

<%= f.label :mlemail, "Listing Email" %> <%= f.text_field :mlemail, class: 'form-control', placeholder: 'Company General Email' %>

<%= f.submit "Submit", class: "btn btn-primary" %>

<% end %>