-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathConfirm.html
114 lines (114 loc) · 3.91 KB
/
Confirm.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
<!DOCTYPE html>
<html>
<head>
<title>Tag-It</title>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet/less" type="text/css" href="Assets/less/bootstrap/bootstrap.less" />
<link rel="stylesheet/less" type="text/css" href="Assets/less/styles.less" />
<script src="Assets/js/jquery-1.12.4.min.js" type="text/javascript"></script>
<script src="Assets/js/less.js" type="text/javascript"></script>
<script src="Assets/js/bootstrap.min.js" type="text/javascript"></script>
<script src="Assets/js/form.validator.js" type="text/javascript"></script>
</head>
<body>
<header>
<nav id="top-line" class="navbar navbar-default">
<div class="container">
<div class="row">
<div class="col-sm-6">
<h2>Tag-It Web</h2>
<p>ColdTrak Shipper Registration Portal</p>
</div>
<div class="col-sm-6 text-right">
<a href="/">
<img id="logo" src="Assets/img/logo.png" />
</a>
</div>
</div>
</div>
</nav>
<div class="collapse navbar-collapse" id="main-menu">
<div class="container">
<ul class="nav navbar-nav">
<li>
<a href="Login.html">Login</a>
</li>
<li>
<a href="Scan.html">Scan</a>
</li>
<li class="active">
<a href="Confirm.html">Confirm</a>
</li>
<li>
<a href="Submit.html">Submit</a>
</li>
<li>
<a href="Summary.html">Summary</a>
</li>
</ul>
</div>
</div>
</header>
<main>
<div class="container">
<form id="confirmForm" class="col-md-8 block-centered" action="Submit.html">
<h2 class="hidden-lg hidden-md hidden-sm">Confirm</h2>
<div class="form-group">
<label class="control-label" for="receiverCompany">Receiver Company</label>
<select id="receiverCompany" class="form-control" name="receiverCompany" required>
<option>Company 1</option>
<option>Company 2</option>
<option>Company 3</option>
</select>
<p class="margin-top-sm">
<a href="Receiver.html">Request to Add New Receiver</a>
</p>
</div>
<div class="form-group">
<label class="control-label" for="orderNumber">Order #</label>
<input class="form-control" type="text" name="orderNumber" id="orderNumber" required />
</div>
<div class="row">
<div class="col-md-9 col-sm-9 col-xs-8 form-group">
<label class="control-label" for="orderSerial">Serial #</label>
<input class="form-control" type="text" name="orderSerial" id="orderSerial" required />
</div>
<div class="col-md-3 col-sm-3 col-xs-4">
<label class="control-label btn-block"> </label>
<a class="btn btn-primary"><span class="glyphicon glyphicon-plus"></span> Add</a>
</div>
</div>
<div class="row">
<div class="col-md-9 col-sm-9 col-xs-8 form-group">
<label class="control-label" for="deviceList">Device List</label>
<select class="form-control" name="deviceList" id="deviceList" multiple required>
<option>Company 1</option>
<option>Company 2</option>
<option>Company 3</option>
</select>
</div>
<div class="col-md-3 col-sm-3 col-xs-4">
<label class="control-label"> </label>
<div class="clearfix"></div>
<a class="btn btn-danger"><span class="glyphicon glyphicon-trash"></span> Remove</a>
</div>
</div>
<hr />
<div>
<a href="Scan.html" class="btn btn-warning pull-left"><span class="glyphicon glyphicon-arrow-left"></span> BACK</a>
<a onclick="return FormValidator.run('#confirmForm')" href="Submit.html" class="btn btn-primary pull-right">NEXT <span class="glyphicon glyphicon-arrow-right"></span></a>
</div>
</form>
</div>
</main>
<footer>
<div class="container">
<div class="pull-right">Version 1.0</div>
</div>
</footer>
<script>
FormValidator.init();
</script>
</body>
</html>