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File: /var/www/html/fieldsblaze-heroku/resources/views/admin/add-account.blade.php
@extends('admin.include.master')

@section('content')
<!-- Content Wrapper. Contains page content -->
<div class="content-wrapper">
  <!-- Content Header (Page header) -->
  <section class="content-header">
    <div class="container-fluid">
      <div class="row mb-2">
        <div class="col-sm-6">
          <h1>Add Account</h1>
        </div>
        <div class="col-sm-6 text-right">
        <a href="{{ url('all-account') }}" type="button" class="btn btn-sm btn-outline-warning mx-1">Cancel</a>
          <button type ="reset"  name="resetForm" id="clearForm" class="btn btn-sm btn-outline-secondary mx-1">Clear</button>
          <button type="submit" name="save" value="Save" class="btn btn-sm btn-outline-success mx-1">Save Now</button>
          
        </div>
      </div>
    </div><!-- /.container-fluid -->
  </section>

  <!-- Main content -->
  <section class="content">
    <div class="row">
      <div class="col-md-6">
        <div class="card card-primary">
          <div class="card-header">
            <h3 class="card-title">Account Info</h3>

            <div class="card-tools">
              <button type="button" class="btn btn-tool" data-card-widget="collapse" title="Collapse">
                <i class="fas fa-minus"></i>
              </button>
            </div>
          </div>
          <div class="card-body">
            <div class="row">
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0"for="FirstName">Account Number</label>
                  <input type="text" id="accountNumber" class="form-control form-control-sm">
                </div>
              </div>
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0"for="LastName">Account Source</label>
                  <input type="text" id="accountSource" class="form-control form-control-sm">
                </div>
              </div>
            </div>
            <div class="row">
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0"for="department">Channel Program Level</label>
                  <input type="text" id="channelProgramLevelName" class="form-control form-control-sm">
                </div>
              </div>
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0"for="channelProgramName">Program Name</label>
                  <input type="text" id="channelProgramName" class="form-control form-control-sm">
                </div>
              </div>
            </div>
            <div class="row">
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0"for="annualRevenue">Annual Revenue</label>
                  <input type="text" id="annualRevenue" class="form-control form-control-sm">
                </div>
              </div>
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0"for="customerPriority">Customer Priority</label>
                  <input type="text" id="customerPriority" class="form-control form-control-sm">
                </div>
              </div>
            </div>
            <div class="form-group mb-2">
              <label class="mb-0"for="salesArea">Service Sales Area</label>
              <input type="text" id="salesArea" class="form-control form-control-sm">
            </div>
            <div class="form-group mb-2">
              <label class="mb-0"for="inputDescription">Description</label>
              <textarea id="inputDescription" class="form-control form-control-sm" rows="4"></textarea>
            </div>
            <div class="form-group mb-2">
              <label class="mb-0"for="inputStatus">Status</label>
              <select id="inputStatus" class="form-control form-control-sm">
                <option selected disabled>Select one</option>
                <option>Active</option>
                <option>In-Active</option>
              </select>
            </div>
          </div>
          <!-- /.card-body -->
        </div>

        <!-- /.card -->
      </div>
      <div class="col-md-6">
        <div class="card card-primary">
          <div class="card-header">
            <h3 class="card-title">Billing Address</h3>

            <div class="card-tools">
              <button type="button" class="btn btn-tool" data-card-widget="collapse" title="Collapse">
                <i class="fas fa-minus"></i>
              </button>
            </div>
          </div>
          <div class="card-body">
            <div class="form-group mb-2">
              <label class="mb-0"for="billingStreetAddress">Street Address</label>
              <input type="text" id="billingStreetAddress" class="form-control form-control-sm billing-address">
            </div>
            <div class="row">
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0">City</label>
                  <select id="billingCity" class="form-control form-control-sm billing-address" style="width: 100%;" aria-hidden="true">
                    <option selected="selected" disabled>Select City</option>
                    <option data-select2-id="30">City 1</option>
                    <option data-select2-id="31">City 2</option>
                    <option data-select2-id="32">City 3</option>
                    <option data-select2-id="33">City 4</option>
                    <option data-select2-id="34">City 5</option>
                    <option data-select2-id="35">City 6</option>
                  </select>
                </div>
              </div>
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0">State</label>
                  <select id="billingState" class="form-control form-control-sm billing-address" style="width: 100%;">
                    <option selected="selected" disabled>Select State</option>
                    <option data-select2-id="30">State 1</option>
                    <option data-select2-id="31">State 2</option>
                    <option data-select2-id="32">State 3</option>
                    <option data-select2-id="33">State 4</option>
                    <option data-select2-id="34">State 5</option>
                    <option data-select2-id="35">State 6</option>
                  </select>
                </div>
              </div>
            </div>
            <div class="row">
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0">Country</label>
                  <select id="billingCountry" class="form-control form-control-sm billing-address" style="width: 100%;" aria-hidden="true">
                    <option selected="selected" disabled>Select Country</option>
                    <option data-select2-id="30">Country 1</option>
                    <option data-select2-id="31">Country 2</option>
                    <option data-select2-id="32">Country 3</option>
                    <option data-select2-id="33">Country 4</option>
                    <option data-select2-id="34">Country 5</option>
                    <option data-select2-id="35">Country 6</option>
                  </select>
                </div>
              </div>
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0"for="billingPostalCode">Postal Code</label>
                  <input type="text" id="billingPostalCode" class="form-control form-control-sm billing-address">
                </div>
              </div>
            </div>
            <!-- /.card-body -->
          </div>
          <!-- /.card -->
        </div>
        <div class="card card-info">
          <div class="card-header">
            <h3 class="card-title">Shipping Address</h3>

            <div class="card-tools">
              <button type="button" class="btn btn-tool" data-card-widget="collapse" title="Collapse">
                <i class="fas fa-minus"></i>
              </button>
            </div>
          </div>
          <div class="card-body">
          <div class="form-group mb-2">
          <div class="icheck-primary d-inline">
                        <input type="checkbox" id="sameAsBilling">
                        <label class="mb-0"for="sameAsBilling">Same as Billing</label>
                      </div>
                       </div>
            <div class="form-group mb-2">
              <label class="mb-0"for="shippingStreetAddress">Street Address</label>
              <input type="text" id="shippingStreetAddress" class="form-control form-control-sm">
            </div>
            <div class="row">
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0">City</label>
                  <select id="shippingCity" class="form-control form-control-sm" style="width: 100%;" aria-hidden="true">
                    <option selected="selected" disabled>Select City</option>
                    <option data-select2-id="30">City 1</option>
                    <option data-select2-id="31">City 2</option>
                    <option data-select2-id="32">City 3</option>
                    <option data-select2-id="33">City 4</option>
                    <option data-select2-id="34">City 5</option>
                    <option data-select2-id="35">City 6</option>
                  </select>
                </div>
              </div>
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0">State</label>
                  <select id="shippingState" class="form-control form-control-sm" style="width: 100%;">
                    <option selected="selected" disabled>Select State</option>
                    <option data-select2-id="30">State 1</option>
                    <option data-select2-id="31">State 2</option>
                    <option data-select2-id="32">State 3</option>
                    <option data-select2-id="33">State 4</option>
                    <option data-select2-id="34">State 5</option>
                    <option data-select2-id="35">State 6</option>
                  </select>
                </div>
              </div>
            </div>
            <div class="row">
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0">Country</label>
                  <select id="shippingCountry" class="form-control form-control-sm" style="width: 100%;" aria-hidden="true">
                    <option selected="selected" disabled>Select Country</option>
                    <option data-select2-id="30">Country 1</option>
                    <option data-select2-id="31">Country 2</option>
                    <option data-select2-id="32">Country 3</option>
                    <option data-select2-id="33">Country 4</option>
                    <option data-select2-id="34">Country 5</option>
                    <option data-select2-id="35">Country 6</option>
                  </select>
                </div>
              </div>
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0"for="shippingPostalCode">Postal Code</label>
                  <input type="text" id="shippingPostalCode" class="form-control form-control-sm">
                </div>
              </div>
            </div>
          </div>
          <!-- /.card-body -->
        </div>
      </div>
    </div>
    <div class="row">
      <div class="col-12 text-right">
      <div class="">
          <a href="{{ url('all-account') }}" type="button" class="btn btn-sm btn-outline-warning mx-1">Cancel</a>
          <button type ="reset"  name="resetForm" id="clearForm" class="btn btn-sm btn-outline-secondary mx-1">Clear</button>
          <button type="submit" name="save" value="Save" class="btn btn-sm btn-outline-success mx-1">Save Now</button>
        </div>
      </div>
    </div>
  </section><br />
  <!-- /.content -->
</div>
<!-- /.content-wrapper -->


<script type="text/javascript">

  $(document).ready(function() {

    stateLoad();
    function stateLoad()
    {
      var country_name = $(this).find("option:selected").val();
      var country_id = $(this).find(':selected').data('id');       
      $.ajax({
         url     : "<?php echo url('/').'/state-list'; ?>",
         type    :"POST",
         cash    : false,
         data: {'country_id': 101, "_token": $('#token').val()},
         type: 'POST',
         success: function (response) {
          $("#billingState").html(response);
         },
         error: function (response) {
           console.log(response);

         }
     });
    }

    $("#billingCountry").change(function() {
      var country_name = $(this).find("option:selected").val();
      var country_id = $(this).find(':selected').data('id');       
      $.ajax({
         url     : "<?php echo url('/').'/state-list'; ?>",
         type    :"POST",
         cash    : false,
         data: {'country_id': country_id, "_token": $('#token').val()},
         type: 'POST',
         success: function (response) {
          $("#billingState").html(response);
         },
         error: function (response) {
           console.log(response);

         }
     });
    });

    $("#shippingCountry").change(function() {
        var country_name = $(this).find("option:selected").val();
        var country_id = $(this).find(':selected').data('id');
        $.ajax({
          url     : "<?php echo url('/').'/state-list'; ?>",
          type    :"POST",
          cash    : false,
          data: {'country_id': country_id, "_token": $('#token').val()},
          type: 'POST',
          success: function (response) {
            $("#shippingState").html(response);
          },
          error: function (response) {
            console.log(response);

          }
      });
    });

    shippingstateLoad();

    function shippingstateLoad()
    {
       var country_name = $(this).find("option:selected").val();
      var country_id = $(this).find(':selected').data('id');
      $.ajax({
         url     : "<?php echo url('/').'/state-list'; ?>",
         type    :"POST",
         cash    : false,
         data: {'country_id': 101, "_token": $('#token').val()},
         type: 'POST',
         success: function (response) {
          $("#shippingState").html(response);
         },
         error: function (response) {
           console.log(response);

         }

        });
    }
         
  });


</script>

@endsection