Sha256: 79a37801100ec2d06c23963810d155bce91e509cc84e8bb921fc19e9b4181c3f
Contents?: true
Size: 1.82 KB
Versions: 27
Compression:
Stored size: 1.82 KB
Contents
<%= form_for([@members_contact.main, @members_contact], url: members_main_contacts_path) do |f| %>
<!-- PHC-Notifi Render Validation -->
<%= render 'phcnotifi/validations', :object => @members_contact %>
<div class="form-group field_with_errors">
<label><%= f.label :mcaddressl1, "Mailing Address Line1" %></label>
<%= f.text_field :mcaddressl1, class: "form-control", placeholder: "Mailing Street Address" %>
</div>
<div class="form-group field_with_errors">
<label><%= f.label :mcaddressl2, "Mailing Address Line2" %></label>
<%= f.text_field :mcaddressl2, class: "form-control", placeholder: "Mailing Address POBox" %>
</div>
<div class="form-group field_with_errors">
<label><%= f.label :mccity, "City" %></label>
<%= f.text_field :mccity, class: "form-control", placeholder: "Mailing City" %>
</div>
<div class="form-group field_with_errors">
<label><%= f.label :mcprovince, "Province or State" %></label>
<%= f.text_field :mcprovince, class: "form-control", placeholder: "Mailing Province or State" %>
</div>
<div class="form-group field_with_errors">
<label><%= f.label :mccountry, "Country" %></label>
<%= country_select("members_contact", "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: "Mailing PostalCode" %>
</div>
<div class="form-group">
<label><%= f.label :mctype, "Address Type" %></label>
<%= f.select :mctype, [['Billing Address','Billing'],['Street Address','Street'],['Mailing Address','Mailing']], {}, :class => "form-control" %>
</div>
<div class="actions">
<%= f.submit "Submit", class: "btn blue-hoki" %>
</div>
<% end %>
Version data entries
27 entries across 27 versions & 1 rubygems