<%= form_with(model: [ @member_profile, @member_listing], url: form_url, local: true) do |form| %> <%= render 'phcdevworks_notifications/bootstrap/validations', :object => @member_listing %>

<%= form.label :listing_company_name, "Company Name" %> <%= form.text_field :listing_company_name, class: "form-control", placeholder: "Business/Organization: Name" %>

<%= form.label :listing_contact_name, "Contact Name" %> <%= form.text_field :listing_contact_name, class: "form-control", placeholder: "Business/Organization: Contact Person" %>

<%= form.label :listing_address_line_1, "Address Line 1" %> <%= form.text_field :listing_address_line_1, class: "form-control", placeholder: "Location: Street Address" %>

<%= form.label :listing_address_line_2, "Address Line 2" %> <%= form.text_field :listing_address_line_2, class: "form-control", placeholder: "Location: Box - Suite - Floor" %>

<%= form.label :listing_city, "City" %> <%= form.text_field :listing_city, class: "form-control", placeholder: "Location: City" %>

<%= form.label :listing_province, "Province/State" %> <%= form.text_field :listing_province, class: "form-control", placeholder: "Location: Province/State" %>

<%= form.label :listing_country, "Country" %> <%= form.text_field :listing_country, class: "form-control", placeholder: "Country" %>

<%= form.label :listing_postal_code, "Postal Code" %>
<%= form.text_field :listing_postal_code, class: "form-control", placeholder: "Location: PostalCode" %>

<%= form.label :listing_phone, "Business Phone Number" %> <%= form.text_field :listing_phone, class: "form-control", placeholder: "Business/Organization: PhoneNumber (Public)" %>

<%= form.label :listing_contact_email, "Business General Email" %> <%= form.text_field :listing_contact_email, class: "form-control", placeholder: "Business/Organization: Email Address (Public)" %>

<%= form.label :listing_website, "Business Website" %> <%= form.text_field :listing_website, class: "form-control", placeholder: "Business/Organization: Website (Public)" %>

<%= form.collection_check_boxes :category_ids, PhcdevworksMembers::Directory::Category.all, :id, :category_name do |listing_category| %> <%= listing_category.check_box %> <%= listing_category.label %>
<% end %>

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

<% end %>