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

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

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

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

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

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

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

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

<% end %>