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<style>
.row{
        margin:0 auto;
}
.modal-content{
                background : white;
        }
        .modelHeaderCustom{
                font-size:14px;
                font-weight:bold;
        }
        .border-highlight{
                border : 3px solid red;
        }
        hr{
                background-color:#007aff;
                border:none;
                height:1px;
                background:#007aff;
        }
        .control-label {
                margin-top: 0;
        margin-bottom: 0;
        padding-top: 7px;
        font-weight:bold;
        font-size:14px;
        }
        .form-group{
                border-bottom: 1px solid #eff2f7;
        padding-bottom: 15px;
        margin-bottom: 15px;
        }
        .right{
                float:right;
        }
        .form-control{
                color:black;
        }
.table-align-center{
        text-align:center;
}

</style>


<section class="wrapper">
        <div class="row">
                <div class="col-lg-12">
                        <h3 class="page-header"><i class="icon_document_alt"></i>VENDOR</h3>
                        <ol class="breadcrumb">
                                <li><i class="fa fa-home"></i><a href="${rc.contextPath}/dashboard">Home</a></li>
                                <li><i class="icon_document_alt"></i>CREATE</li>                                                        
                        </ol>
                </div>
        </div>
        <form id="create-vendor-form">
                <div style="background:white;background-color:white;padding:10px;">
                        <h4 class="modelHeaderCustom" style="font-size:22px;">Vendor Information</h4>
                        <div>
                                <div class = "row">
                                        <div class="col-lg-2 form-group">
                                                <input placeholder="Name" id="vendorName" name="vendorName" type="text" value="" class="form-control input-sm">
                                        </div>
                                        <div class="col-lg-2 form-group">
                                                <input placeholder="Contact Person Name" id="contactPersonName" name="contactPersonName" type="text" value="" class="form-control input-sm">
                                        </div>
                                        <div class="col-lg-2 form-group">
                                                <input placeholder="Email Id" id="emailId" name="emailId" type="text" value="" class="form-control input-sm">
                                        </div>
                                        <div class="col-lg-2 form-group">
                                                <input placeholder="Mobile Number" id="mobileNumber" name="mobileNumber" type="text" value="" class="form-control input-sm">
                                        </div>
                                        <div class="col-lg-2 form-group">
                                                <input placeholder="GST Number" id="gstNumber" name="gstNumber" type="text" value="" class="form-control input-sm">
                                        </div>
                                        <div class="col-lg-2 form-group">
                                                <input placeholder="Address Line 1" id="line1" name="line1" type="text" size="50" value="" class="form-control input-sm">
                                        </div>
                                </div>
                                <div class = "row">
                                        
                                        
                                        <div class="col-lg-2 form-group">
                                                <input placeholder="Address Line 2" id="line2" name="line2" type="text" value="" class="form-control input-sm">
                                        </div>
                                        <div class="col-lg-2 form-group">
                                                <input placeholder="Landmark" id="landmark" name="landmark" type="text" value="" class="form-control input-sm">
                                        </div>
                                        <div class="col-lg-2 form-group">
                                                <input placeholder="Pin Code" id="pinCode" name="pinCode" type="number" value="" class="form-control input-sm">
                                        </div>
                                        <div class="col-lg-2 form-group">
                                                <input placeholder="City" id="city" name="city" type="text" value="" class="form-control input-sm">
                                        </div>
                                        <div class="col-lg-2 form-group">
                                                <select class="form-control input-sm" id = "state" name = "state" placeholder="State">
                                                        <option value="" disabled selected>State</option>
                                                        #foreach($stateName in $stateNames)
                                                                #if($retailerStateName == $stateName)
                                                                        <option value="$stateName" selected>$stateName</option>
                                                                #else
                                                                        <option value="$stateName">$stateName</option>
                                                                #end
                                                        #end
                                </select>
                                        </div>
                                        <div class="col-lg-2">
                                                <input class="btn btn-primary" type="submit" value="Create Vendor">     
                                        </div>
                                </div>
                        </div>
                </div>
        
        </form>
</section>
<script type="text/javascript" src="resources/js/create-vendor.js?v=${version}"></script>