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<!-- Title --> <div class="lead fw-bold p-3 new-client-prompt"></div> <!-- Main content --> <div class="row"> <div class="d-flex p-5 mt-3 justify-content-between align-items-lg-center py-3 flex-column flex-lg-row"> <h2 class="h5 mb-3 mb-lg-0"><a href="../../pages/admin/customers.html" class="text-muted"><i class="bi bi-arrow-left-square me-2"></i></a> Create new customer</h2> {{-- <div class="hstack gap-3"> <button class="btn btn-light btn-sm btn-icon-text"><i class="bi bi-x"></i> <span class="text">Cancel</span></button> <button class="btn btn-primary btn-sm btn-icon-text"><i class="bi bi-save"></i> <span class="text">Save</span></button> </div> --}} </div> <!-- Left side --> <div class="col-lg-8"> <!-- Basic information --> <div class="card mb-4"> <div class="card-body"> <h3 class="h6 mb-4 fw-bold text-dark">Company information</h3> <form action="" class="client-company"> <div class="row"> <div class="col-lg-6"> <div class="mb-3"> <label class="form-label">Company Name</label> <input type="text" class="form-control"> </div> </div> <div class="col-lg-6"> <div class="mb-3"> <label class="form-label">Company Email</label> <input type="text" class="form-control"> </div> </div> </div> <div class="row"> <div class="col-lg-6"> <div class="mb-3"> <label class="form-label">Company Address</label> <input type="email" class="form-control"> </div> </div> <div class="col-lg-6"> <div class="mb-3"> <label class="form-label">CEO/Owner</label> <input type="text" class="form-control"> </div> </div> </div> <div class="row"> <div class="col-lg-6"> <div class="mb-3"> <label class="form-label">Date of Birth</label> <input type="email" class="form-control"> </div> </div> <div class="col-lg-6"> <div class="mb-3"> <label class="form-label">Contact Information</label> <input type="text" class="form-control"> </div> </div> </div> </form> </div> </div> <!-- Address --> <div class="row"> <div class="col-sm-6"> <div class="card mb-4"> <div class="card-body"> <h3 class="h6 fw-bold">Notes</h3> <textarea class="form-control" rows="3"></textarea> </div> </div> </div> <div class="col-sm-6"> <div class="card mb-4"> <div class="card-body"> <h3 class="h6 fw-bold">Company Profile<sup class="text-danger fw-bold"><strong>(option)</strong></sup></h3> <input class="form-control" type="file" accept="image/*" aria-label="Upload Company Profile Image"> </div> </div> </div> </div> </div> <!-- Right side --> <div class="col-lg-4"> <div class="card mb-4"> <div class="card-body"> <h3 class="h6 mb-4 fw-bold text-dark">Representative</h3> <form action="" class="client-rep"> <div class="mb-3"> <label class="form-label">Name</label> <input type="text" class="form-control"> </div> <div class="mb-3"> <label class="form-label">Contact Information</label> <input type="text" class="form-control"> </div> <div class="row"> <div class="col-lg-6"> <div class="mb-3"> <label class="form-label">Date of Birth</label> <input type="date" name="" id="" class="form-control"> </div> </div> <div class="col-lg-6"> <div class="mb-3"> <label class="form-label">Position</label> <input type="text" name="" class="form-control" id=""> </div> </div> </div> <div class="row"> <div class="col-lg-12"> <div class="mb-3"> <label class="form-label">Address</label> <input type="text" class="form-control"> </div> </div> </div> </form> </div> </div> <div class="hstack gap-3 float-right"> {{-- <button class="btn btn-light btn-sm btn-icon-text fw-bold"><i class="bi bi-x"></i> <span class="text">Cancel</span></button> --}} <button class="btn btn-primary btn-sm btn-icon-text fw-bold text-light"><i class="bi bi-save"></i> <span class="text">Save</span></button> </div> </div> </div>
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