<%= form_with(model: @member_profile, local: true) do |form| %> <%= render "phcdevworks_notifications/bootstrap/validations", :object => @member_profile %>

<%= form.label :member_first_name, "First Name*", class: "form-label" %> <%= form.text_field :member_first_name, class: "form-control", placeholder: "First Name", class: "form-control masked" %>

<%= form.label :member_last_name, "Last Name*", class: "form-label" %> <%= form.text_field :member_last_name, class: "form-control", placeholder: "Last Name", class: "form-control masked" %>

<%= form.label :member_title, "Job Title", class: "form-label" %> <%= form.text_field :member_title, class: "form-control", placeholder: "Job Title/Salutation", class: "form-control masked" %>

<%= form.label :member_email, "Contact Email Address*", class: "form-label" %> <%= form.text_field :member_email, class: "form-control", placeholder: "Contact Email (Will Remain Private)", class: "form-control masked" %>

<%= form.label :member_phone, "Contact Phone Number*", class: "form-label" %> <%= form.text_field :member_phone, placeholder: "Contact Phone Number (Will Remain Private)", class: "form-control masked", data: {format: "(999) 999-9999", placeholder: "x"} %>

<%= form.label :member_notes, "Member", class: "form-label" %> <%= form.text_area :member_notes, placeholder: "Member Notes", class: "form-control masked" %>

<%= form.submit class: "btn btn-primary btn-md" %>

<% end %>