Rev 17882 | Go to most recent revision | Blame | Compare with Previous | Last modification | View Log | RSS feed
<script>$(document).ready(function(){$("#state").val('<?php echo $getstateval;?>');$('#submitdata').click(function(){if($('#pin').val().length!=6){$("#pin").next().html('Invalid Pin');$("#pin").css({"border":"red solid 1px"});}else{$("#pin").next().html('');$("#pin").css({"border":"#58d936 solid 1px"});}if($('#phone').val().length!=10){$("#phone").next().html('Invalid Phone Number');$("#pin").css({"border":"red solid 1px"});}else{$("#phone").next().html('');$("#pin").css({"border":"#58d936 solid 1px"});}});});</script><style>#footer{position:fixed;/*height:50px;*//*background-color:red;*/bottom:0px;left:0px;right:0px;margin-bottom:0px;}* {padding: 0;margin: 0;}a {text-decoration: none;-webkit-tap-highlight-color: rgba(0,0,0,0.1);color: #000;}input,select,a,div {-webkit-tap-highlight-color: rgba(0,0,0,0.2);}input:active,select:active,a:active,.btn:active {background: rgba(0,0,0,0.2);}input {outline: 0;-webkit-appearance: none;-moz-appearance: none;-o-appearance: none;appearance: none;}select {-webkit-appearance: none;-moz-appearance: none;-o-appearance: none;appearance: none;}* html .clearfix {height: 1px;}select::-ms-expand {display: none;color: #ffffff;}select::selection {background-color: black;}input[type="checkbox"]::-ms-check {display: none;}select {width: 100%;appearance: none;-webkit-appearance: none;border: #58d936 solid 1px;color: #555555;border-radius: 6px;outline: none;padding: 4px;display: block;box-sizing: border-box;-webkit-box-sizing: border-box;-moz-box-sizing: border-box;/*font: normal 1.4em/1.2em Helvetica, Arial, sans-serif;*//*margin: 2px 0 8px 0;*/margin: 2px 0 0px 0;background: url('../images/dropdown.PNG') no-repeat 99% 16px, #ffffff;background-size: 20px, 100%;}.shipping-cont {margin:7px 2px;padding: 12px 7px;background: white;}.shipping-cont form {padding: 0px 0;}.shipping-cont form fieldset {border: none;}.shipping-cont label span {color: red;}/*.shipping-cont input[type="submit"] {float: left;width: 100%;margin: 10px 0;background: #ff7201;color: #ffffff;font: normal 1.8em/1.2em Helvetica, Arial, sans-serif;text-align: center;padding: 5px 0;text-transform: uppercase;appearance: none;-webkit-appearance: none;-moz-appearance: none;border: none;}*/label{margin:0px;padding:0px;}input[type="text"],input[type="number"],input[type="date"],textarea {width: 100%;appearance: none;-webkit-appearance: none;-moz-appearance: none;border: #58d936 solid 1px;color: #555;border-radius: 6px;outline: none;padding: 5px;display: block;box-sizing: border-box;-webkit-box-sizing: border-box;-moz-box-sizing: border-box;font: normal 1.2em Helvetica, Arial, sans-serif;/*margin: 2px 0 8px 0;*/margin: 2px 0 0px 0;}textarea{resize: none;}.error_msg {padding: 5px 5px 5px 28px;display: block;border: #fc1f1f dashed 1px;color: #fc1f1f;font: normal 1.4em/1.2em Helvetica, Arial, sans-serif;margin: 0 5px;/*background: url(../images/error-notification.png) no-repeat 5px center;*/background-size: 20px;margin-bottom: 10px;}.form_submit{width:100%;}</style><div class='container' style='margin-bottom:50px;'><div class='row' style="padding-bottom:40px;"><div class='col-xs-12' style='padding:0px'><div class="shipping-cont"><div id="error" class="error_msg" style="display:none"></div><form method="post" action="<?php echo $base_url;?>shippings/add" name='form2' id='form2' class="address-form"<fieldset><legend>Add New Address: <input type="submit" name="submit" value="Save" class='btn btn-success' id='form_submit' style='float:right;'/></legend><label>Name<span>*</span></label><input type="text" id="" name="name" placeholder= "<?php echo $_COOKIE['name'];?>"/><label>Address<span>*</span></label><textarea rows="2" id="line1" name="line1" required></textarea><!-- <input type="text" id="line1" name="line1" required/> --><div class='row' style='padding-bottom:5px'><div class='col-xs-6' style='padding:0px 5px 0px 0px ;'><label>City<span>*</span></label><input type="text" id="city" name="city" required/><label>Phone<span>*</span></label><input type="text" id="phone" name="phone" pattern="\d.{9,9}" required title="Invalid Phone number.."/></div><div class='col-xs-6' style='padding:0px 0px 0px 5px ;'><label>State<span>*</span></label><select id="state" name="state" required><option value="">Select State</option><option value="Andaman & Nicobar Island">Andaman & Nicobar Island</option><option value="Andhra Pradesh">Andhra Pradesh</option><option value="Arunachal Pradesh">Arunachal Pradesh</option><option value="Assam">Assam</option><option value="Bihar">Bihar</option><option value="Chandigarh">Chandigarh</option><option value="Chattisgarh">Chattisgarh</option><option value="Dadra & Nagar Haveli">Dadra & Nagar Haveli</option><option value="Daman & Diu">Daman & Diu</option><option value="Delhi">Delhi</option><option value="Goa">Goa</option><option value="Gujarat">Gujrat</option><option value="Haryana">Haryana</option><option value="Himachal Pradesh">Himachal Pradesh</option><option value="Jammu & Kashmir">Jammu & Kashmir</option><option value="Jharkhand">Jharkhand</option><option value="Karnataka">Karnataka</option><option value="Kerala">Kerala</option><option value="Lakshadweep">Lakshadweep</option><option value="Madhya Pradesh">Madhya Pradesh</option><option value="Maharashtra">Maharashtra</option>s<option value="Manipur">Manipur</option><option value="Meghalaya">Meghalaya</option><option value="Mizoram">Mizoram</option><option value="Nagaland">Nagaland</option><option value="Orissa">Orissa</option><option value="Pondicherry">Pondicherry</option><option value="Punjab">Punjab</option><option value="Rajasthan">Rajasthan</option><option value="Sikkim">Sikkim</option><option value="Tamil Nadu">Tamil Nadu</option><option value="Tripura">Tripura</option><option value="Uttar Pradesh">Uttar Pradesh</option><option value="Uttarakhand">Uttarakhand</option><option value="West Bengal">West Bengal</option></select><label>Pincode<span>*</span></label><input placeholder='<?php echo $_COOKIE['pin'];?>' type="text" id="pin" name="pin" pattern="\d.{5,5}" title="Invalid Pin" /></div></div><span style='color:red;'></span></fieldset></form></div></div><div class='row' style='padding:0px;' id='footer'><div class='col-xs-12' style='background-color:white;padding:5px; width:100%;'><h4>Total payable Amount: Rs. 1000000/-<br><a href="#" style=' padding-right:2px;color:blue;font-size:15px;'>Other Pay Option</a><button class='btn btn-success' style='float:right;'>Confirm Order via COD</button></div></div></div>