<?php defined('BASEPATH') OR exit('No direct script access allowed'); ?>
<div class="modal-dialog modal-lg">
    <div class="modal-content">
        <div class="modal-header">
            <button type="button" class="close" data-dismiss="modal" aria-hidden="true"><i class="fa fa-2x">&times;</i>
            </button>
            <h4 class="modal-title" id="myModalLabel"><?php echo lang('add_biller'); ?></h4>
        </div>
        <?php $attrib = array('data-toggle' => 'validator', 'role' => 'form');
        echo admin_form_open_multipart("billers/add", $attrib); ?>
        <div class="modal-body">
            <p><?= lang('enter_info'); ?></p>

            <div class="row">
                <div class="col-md-6">
                    <div class="form-group">
                        <?= lang("logo", "biller_logo"); ?>
                        <?php
                        $biller_logos[''] = '';
                        foreach ($logos as $key => $value) {
                            $biller_logos[$value] = $value;
                        }
                        echo form_dropdown('logo', $biller_logos, '', 'class="form-control select" id="biller_logo" '); ?>
                    </div>
                </div>

                <div class="col-md-6">
                    <div id="logo-con" class="text-center"></div>
                </div>
            </div>
            <div class="row">
                <div class="col-md-6">
                    <div class="form-group company">
                        <?= lang("company", "company"); ?>
                        <?php echo form_input('company', '', 'class="form-control tip" id="company" data-bv-notempty="true"'); ?>
                    </div>
                    <div class="form-group person">
                        <?= lang("name", "name"); ?>
                        <?php echo form_input('name', '', 'class="form-control tip" id="name" data-bv-notempty="true"'); ?>
                    </div>
                    <div class="form-group">
                        <?= lang("vat_no", "vat_no"); ?>
                        <?php echo form_input('vat_no', '', 'class="form-control" id="vat_no"'); ?>
                    </div>
                    <!--<div class="form-group company">
                    <?= lang("contact_person", "contact_person"); ?>
                    <?php echo form_input('contact_person', '', 'class="form-control" id="contact_person" data-bv-notempty="true"'); ?>
                </div>-->
                    <div class="form-group">
                        <?= lang("email_address", "email_address"); ?>
                        <input type="email" name="email" class="form-control" required="required" id="email_address"/>
                    </div>
                    <div class="form-group">
                        <?= lang("phone", "phone"); ?>
                        <input type="tel" name="phone" class="form-control" required="required" id="phone"/>
                    </div>
                    <div class="form-group">
                        <?= lang("address", "address"); ?>
                        <?php echo form_input('address', '', 'class="form-control" id="address" required="required"'); ?>
                    </div>
                    <div class="form-group">
                        <?= lang("city", "city"); ?>
                        <?php echo form_input('city', '', 'class="form-control" id="city" required="required"'); ?>
                    </div>
                    <div class="form-group">
                        <?= lang("state", "state"); ?>
                        <?php
                        if ($this->Settings->indian_gst) {
                            $states = $this->gst->getIndianStates();
                            echo form_dropdown('state', $states, '', 'class="form-control select" id="state"');
                        } else {
                            echo form_input('state', '', 'class="form-control" id="state"');
                        }
                        ?>
                    </div>

                </div>
                <div class="col-md-6">
                    <div class="form-group">
                        <?= lang("postal_code", "postal_code"); ?>
                        <?php echo form_input('postal_code', '', 'class="form-control" id="postal_code"'); ?>
                    </div>
                    <div class="form-group">
                        <?= lang("country", "country"); ?>
                        <?php echo form_input('country', '', 'class="form-control" id="country"'); ?>
                    </div>
                    <div class="form-group">
                        <?= lang("bcf1", "cf1"); ?>
                        <?php echo form_input('cf1', '', 'class="form-control" id="cf1"'); ?>
                    </div>
                    <div class="form-group">
                        <?= lang("bcf2", "cf2"); ?>
                        <?php echo form_input('cf2', '', 'class="form-control" id="cf2"'); ?>

                    </div>
                    <div class="form-group">
                        <?= lang("bcf3", "cf3"); ?>
                        <?php echo form_input('cf3', '', 'class="form-control" id="cf3"'); ?>
                    </div>
                    <div class="form-group">
                        <?= lang("bcf4", "cf4"); ?>
                        <?php echo form_input('cf4', '', 'class="form-control" id="cf4"'); ?>

                    </div>
                    <div class="form-group">
                        <?= lang("bcf5", "cf5"); ?>
                        <?php echo form_input('cf5', '', 'class="form-control" id="cf5"'); ?>

                    </div>
                    <div class="form-group">
                        <?= lang("bcf6", "cf6"); ?>
                        <?php echo form_input('cf6', '', 'class="form-control" id="cf6"'); ?>
                    </div>
                </div>
                <div class="col-md-12">
                    <div class="form-group">
                        <?= lang("invoice_footer", "invoice_footer"); ?>
                        <?php echo form_textarea('invoice_footer', '', 'class="form-control skip" id="invoice_footer" style="height:100px;"'); ?>
                    </div>
                </div>
            </div>


        </div>
        <div class="modal-footer">
            <?php echo form_submit('add_biller', lang('add_biller'), 'class="btn btn-primary"'); ?>
        </div>
    </div>
    <?php echo form_close(); ?>
</div>
<script type="text/javascript" charset="utf-8">
    $(document).ready(function () {
        $('#biller_logo').change(function (event) {
            var biller_logo = $(this).val();
            $('#logo-con').html('<img src="<?=base_url('assets/uploads/logos')?>/' + biller_logo + '" alt="">');
        });
    });
</script>
<?= $modal_js ?>
