Subversion Repositories SmartDukaan

<section class="wrapper">
    <div class="row">
        <div class="col-lg-12">
            <h3 class="page-header"><i class="icon_document_alt"></i> WOD Request Panel</h3>
            <ol class="breadcrumb">
                <li><i class="fa fa-home"></i><a href="${rc.contextPath}/dashboard">Home</a></li>
                <li>WOD Request Panel</li>
            </ol>
        </div>
    </div>

    <div class="row" style="margin-bottom:15px;">
        <div class="col-md-3">
            <label>Select Partner</label>
            <select id="partnerSelect" class="form-control">
                <option value="">-- Select Partner --</option>
                #foreach($entry in $retailers.entrySet())
                    <option value="$entry.key">$entry.value.getBusinessName() ($entry.value.getCode())</option>
                #end
            </select>
        </div>
        <div class="col-md-2">
            <label>Select Brand</label>
            <select id="brandSelect" class="form-control" disabled>
                <option value="">-- Select Brand --</option>
                #foreach($brand in $brands)
                    <option value="$brand">$brand</option>
                #end
            </select>
        </div>
        <div class="col-md-2">
            <label>Select State/Region</label>
            <select id="stateSelect" class="form-control" disabled>
                <option value="">-- Select State --</option>
            </select>
        </div>
        <div class="col-md-2">
            <label>Working with Distributor?</label>
            <select id="distributorSelect" class="form-control" disabled>
                <option value="">-- Select --</option>
                <option value="yes">Yes - Working with Distributor</option>
                <option value="no">No - Non Distributor / New Partner</option>
            </select>
        </div>
        <div class="col-md-3" style="margin-top:25px;">
            <button id="loadFormBtn" class="btn btn-primary" disabled>Load Form</button>
            <a href="javascript:void(0);" class="btn btn-default wod-request-list">Past Requests</a>
        </div>
    </div>

    <div id="dynamicFormContainer" style="display:none;">
        <div class="panel panel-default">
            <div class="panel-heading">
                <h4 id="formTitle" style="margin:0;">WOD Request Form</h4>
            </div>
            <div class="panel-body">
                <input type="hidden" id="templateId">
                <input type="hidden" id="fofoId">
                <input type="hidden" id="distributorType">
                <div id="formFieldsContainer" class="row"></div>
                <hr>
                <div class="row">
                    <div class="col-md-12">
                        <button type="button" class="btn btn-success btn-lg" id="submitBtn">
                            <i class="fa fa-paper-plane"></i> Submit WOD Request
                        </button>
                    </div>
                </div>
            </div>
        </div>
    </div>
</section>