114 lines
5.8 KiB
PHP
114 lines
5.8 KiB
PHP
<div class="modal fade" id="shortCodeEditModal" tabindex="-1" role="dialog" aria-labelledby="shortCodeEditModalLabel" aria-hidden="true">
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<div class="modal-dialog">
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<div class="modal-content">
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<div class="modal-header">
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<!-- <h4 class="modal-title">Default Modal</h4> -->
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<h5 class="modal-title text-center" id="shortCodeEditModalLabelHeading">Edit Short Code Form</h5>
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<button type="button" class="close" data-dismiss="modal" aria-label="Close">
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<span aria-hidden="true">×</span>
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</button>
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</div>
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<div class="modal-body">
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<div id="notifyAreaEdit" class="alert alert-danger hidden"></div>
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<form class="form-vertical" method="POST" id="shortCodeEditForm" action="{{ url('clients/shortcodes_update') }}">
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{{ csrf_field() }}
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<input type="hidden" name="shortcode_id" id="shortCodeIDEdit">
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<input type="hidden" name="code_type" id="shortCodeTypeEdit">
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<input type="hidden" name="client_id" id="shortCodeClientIdEdit">
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<div class="row">
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<div class="form-group" >
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<div class="col-md-12" style="padding-bottom: 5px;">
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<label for="nameEdit">Friendly Name *</label>
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<input type="text" class="form-control" name="name" id="nameEdit" required >
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</div>
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</div>
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<div class="form-group">
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<div class="col-md-12" style="padding-bottom: 5px">
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<label for="networks">Network *</label>
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<!-- 'multiple'=> 'true', -->
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{!! Form::select('network', $networks_raw, null, ['class' => 'form-control' , 'id' => 'networks', 'required' => 'required', 'style' => 'width: 100%']) !!}
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</div>
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</div>
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<div class="form-group" >
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<div class="col-md-12" style="padding-bottom: 5px;">
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<label for="shortCodeEdit">Code *</label>
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<input type="number" class="form-control" name="shortcode" id="shortCodeEdit" required >
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</div>
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</div>
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<div class="form-group">
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<div class="col-md-12" style="padding-bottom: 5px">
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<label for="tollFreeEdit">Toll Free</label>
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<select name="toll_free" id="tollFreeEdit" class="form-control" required style="width: 100%;">
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<option value="YES">YES</option>
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<option value="NO">NO</option>
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</select>
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</div>
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</div>
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<div class="form-group">
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<div class="col-md-12" style="padding-bottom: 5px">
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<label for="monthlyFeeEdit">Monthly Fee</label>
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<input type="number" class="form-control" name="monthly_fee" id="monthlyFeeEdit" >
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</div>
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</div>
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<div class="form-group">
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<div class="col-md-6">
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<div class='input-group date' id='myDatepicker22Edit' style="padding-bottom: 5px;">
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<label for="launchDateEdit">Launch Date</label>
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<input type="text" class="form-control" name="launch_date" id="launchDateEdit" required >
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<div class="input-group-addon">
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<span class="fa fa-calendar"></span>
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</div>
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</div>
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</div>
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<div class="col-md-6">
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<div class='input-group date' id='myDatepicker223Edit' style="padding-bottom: 5px;">
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<label for="expiryDateEdit">Expiry Date</label>
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<input type="text" class="form-control" name="expiry_date" id="expiryDateEdit" required >
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<div class="input-group-addon">
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<span class="fa fa-calendar"></span>
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</div>
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</div>
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</div>
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</div>
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<div class="form-group">
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<div class="col-md-12" style="padding-bottom: 5px">
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<label for="codeStatusEdit">Status</label>
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<select id="codeStatusEdit" name="status" class="form-control" required style="width: 100%;">
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<option value="LIVE">Live</option>
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<option value="PENDING">Pending</option>
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<option value="TESTING">Testing</option>
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<option value="INACTIVE">Inactive </option>
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</select>
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</div>
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</div>
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<div class="form-group" >
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<div class="col-md-12" style="padding-bottom: 5px;">
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<label for="remarksEdit">Remarks</label>
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<input type="text" class="form-control" name="remarks" id="remarksEdit"></textarea>
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</div>
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</div>
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<div class="form-group" style="margin-bottom: 0.2rem; padding-bottom: 5px; padding-top: 5px;">
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<div class="col-md-12" style="padding-bottom: 10px;">
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<button type="submit" class="btn btn-success btn-block updateBtn"> <i class="fa fa-send"></i> Submit</button>
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</div>
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</div>
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<div class="form-group" style="margin-bottom: 0.5rem; padding-bottom: 5px; padding-top: 5px;">
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<div class="col-md-12">
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<button type="button" class="btn btn-dark btn-block" data-dismiss="modal"><i class="fa fa-close"></i> Close</button>
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</div>
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</div>
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</div>
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</form>
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</div>
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</div>
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<!-- /.modal-content -->
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</div>
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<!-- /.modal-dialog -->
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</div>
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<!-- /.modal -->
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