{% extends '::baseAjax.html.twig' %}
{% block ajax_body %}

{% set ob_city_dropdown = ob_project_setting['configuration_rule']['site_management']['option']['address']['option']['city']['option']['dropdown']['status'] %}
{% set ob_city_textbox = ob_project_setting['configuration_rule']['site_management']['option']['address']['option']['city']['option']['textbox']['status'] %}
{% set ob_state_dropdown = ob_project_setting['configuration_rule']['site_management']['option']['address']['option']['state']['option']['dropdown']['status'] %}
{% set ob_state_textbox = ob_project_setting['configuration_rule']['site_management']['option']['address']['option']['state']['option']['textbox']['status'] %}
{% set ob_country_dropdown = ob_project_setting['configuration_rule']['site_management']['option']['address']['option']['country']['option']['dropdown']['status'] %}
{% set ob_country_textbox = ob_project_setting['configuration_rule']['site_management']['option']['address']['option']['country']['option']['textbox']['status'] %}

<!-- Request Quick View Block -->
	<div class="modal-dialog modal-lg">
		<div class="modal-content">
            <a href="#" class="close" data-dismiss="modal" aria-label="Close">&times;</a>
			<div class="modal-header">
				<h1 class="modal-title" ><img alt="" src="{{  (ob_project_base_url~asset(ob_project_assets_base_url ~ 'images/goldstar/add-adrress.png') ) }}"> {{ 'request_quote.shipping_type.add_new_address'|trans }}</h1>
			</div>
			<div class="modal-body">
				<div class="row">
                  <form action="{{ path('office_brain_userbundle_contactbook_addcontactbookpost')}}" method="post" id="contact_book_add" novalidate>
                  {% set counter = app.request.get('counter',null) %}
                  {% if counter != null %}
                  	<input type="hidden" name="counter" value="{{ app.request.get('counter') }}" />
                  {% endif %}
         		<div class="col-md-12 col-lg-12 col-sm-12 col-xs-12">
	                <div class="row">
		                <div class="col-md-6 col-lg-6 col-sm-6 col-xs-12">
			                <div class="form-group">
			                	<label class="checkout-label" for="name">{{ 'user.contact_book.name.label'|trans }}<i class="mandatory-field">*</i></label>
			                	{% block request_quote_add_contact_book_name %}{% endblock request_quote_add_contact_book_name %}
			                </div>
		                </div>
		                <div class="col-sm-6 col-xs-12">
			                <div class="form-group inp-parts">
			                	<label class="checkout-label" for="adressType">{{ 'user.contact_book.addressType.label'|trans }}<span class="mandatory-field">*</span></label>
			                	{% block request_quote_add_contact_book_addresstype %}{% endblock request_quote_add_contact_book_addresstype %}
			                </div>
		                </div>
		                <div class="col-md-12 col-lg-6 col-lg-offset-6 col-sm-12 col-xs-12 js-isoffice" style="display: none;">
			                <div class="form-group">
								{% block request_quote_add_contact_book_isOffice %}{% endblock request_quote_add_contact_book_isOffice %}
			                </div>									                
		                </div>
		            </div>
		            <div class="row">
		                <div class="col-md-6 col-lg-6 col-sm-6 col-xs-12">
			                <div class="form-group">
			                	<label class="checkout-label" for="street1">{{ 'user.contact_book.street1.label'|trans }}<i class="mandatory-field">*</i></label>
			                	{% block request_quote_add_contact_book_street1 %}{% endblock request_quote_add_contact_book_street1 %}
			                </div>
		                </div>
		                <div class="col-md-6 col-lg-6 col-sm-6 col-xs-12">
			                <div class="form-group">
			                	<label class="checkout-label" for="street2">{{ 'user.contact_book.street2.label'|trans }}</label>
			                	{% block request_quote_add_contact_book_street2 %}{% endblock request_quote_add_contact_book_street2 %}
				            </div>
		                </div>
		            </div>
		            <div class="row">
		                {% if ob_city_dropdown %}
		                <div class="col-sm-6 col-xs-12">
			                <div class="form-group inp-parts">
			                	<label class="checkout-label" for="cityId">{{ 'user.contact_book.cityId.label'|trans }}</label>
			                	{% block request_quote_add_contact_book_cityId %}{% endblock request_quote_add_contact_book_cityId %}
			                </div>
		                </div>
		                {% endif %}
		                {% if ob_city_textbox %}
		                <div class="col-sm-6 col-xs-12">
			                <div class="form-group">
			                	<label class="checkout-label" for="cityName">{{ 'user.contact_book.cityId.label'|trans }}<i class="mandatory-field">*</i></label>
			                	{% block request_quote_add_contact_book_cityName %}{% endblock request_quote_add_contact_book_cityName %}
			                </div>
		                </div>
		                {% endif %}
		                
		                {% if ob_country_textbox %}
                            <div class="col-sm-6 col-xs-12">
    			                <div class="form-group inp-parts">
    			                	<label class="checkout-label" for="countryId">{{ 'user.contact_book.countryId.label'|trans }}<i class="mandatory-field">*</i></label>
    			                	{% block request_quote_add_contact_book_countryName %}{% endblock request_quote_add_contact_book_countryName %}
    			                </div>  
    		                </div>
                        {% elseif ob_country_dropdown %}
                        	<div class="col-sm-6 col-xs-12">
    			                <div class="form-group inp-parts">
    			                	<label class="checkout-label" for="countryId">{{ 'user.contact_book.countryId.label'|trans }}<i class="mandatory-field">*</i></label>
    			                	{% block request_quote_add_contact_book_countryId %}{% endblock request_quote_add_contact_book_countryId %}
    			                </div>  
    		                </div>
                        {% endif %}
		            </div>
		            <div class="row">
		            	{% if ob_state_textbox %}
                            <div class="col-sm-6 col-xs-12">
    			                <div class="form-group inp-parts">
    			                	<label class="checkout-label" for="stateId">{{ 'user.contact_book.stateId.label'|trans }}<i class="mandatory-field">*</i></label>
    			                	{% block request_quote_add_contact_book_stateName %}{% endblock request_quote_add_contact_book_stateName %}
    			                </div>
    		                </div>
                        {% elseif ob_state_dropdown %}
                            <div class="col-sm-6 col-xs-12">
    			                <div class="form-group inp-parts">
    			                	<label class="checkout-label" for="stateId">{{ 'user.contact_book.stateId.label'|trans }}<i class="mandatory-field">*</i></label>
    			                	{% block request_quote_add_contact_book_stateId %}{% endblock request_quote_add_contact_book_stateId %}
    			                </div>
    		                </div>
                        {% endif %}
		                
		                <div class="col-md-6 col-lg-6 col-sm-6 col-xs-12">
			                <div class="form-group js-zipcode-validate">
			                	<label class="checkout-label" for="zipcode">{{ 'user.contact_book.zipcode.label'|trans }}<i class="mandatory-field">*</i></label>
			                	{% block request_quote_add_contact_book_zipcode %}{% endblock request_quote_add_contact_book_zipcode %}
			                </div>
		                </div>
		            </div>
		            <div class="row">
		                <div class="col-md-6 col-lg-6 col-sm-6 col-xs-12">
			                <div class="form-group">
			                	<label class="checkout-label" for="email">{{ 'user.contact_book.email.label'|trans }}<i class="mandatory-field">*</i></label>
			                	{% block request_quote_add_contact_book_email %}{% endblock request_quote_add_contact_book_email %}
			                </div>
		                </div>
		                <div class="col-md-6 col-lg-6 col-sm-6 col-xs-12">
			                <div class="form-group">
			                	<label class="checkout-label" for="mobile">{{ 'user.contact_book.mobile.label'|trans }}</label>
			                	{% block request_quote_add_contact_book_mobile %}{% endblock request_quote_add_contact_book_mobile %}
			                </div>
		                </div>
		             </div>
		            <div class="row">
		                <div class="col-md-6 col-lg-6 col-sm-6 col-xs-12">
			                <div class="form-group">
			                	<label class="checkout-label" for="phone">{{ 'user.contact_book.phone.label'|trans }}<i class="mandatory-field">*</i></label>
			                	{% block request_quote_add_contact_book_phone %}{% endblock request_quote_add_contact_book_phone %}
			                </div>
		                </div>
		                <div class="col-md-6 col-lg-6 col-sm-6 col-xs-12">
			                <div class="form-group">
			                	<label class="checkout-label" for="extension">{{ 'user.contact_book.extension.label'|trans }}</label>
			                	{% block request_quote_add_contact_book_extension %}{% endblock request_quote_add_contact_book_extension %}
			                </div>
		                </div>
		             </div>
		            <div class="row">
		                <div class="col-md-6 col-lg-6 col-sm-6 col-xs-12">
			                <div class="form-group">
			                	<label class="checkout-label" for="fax">{{ 'user.contact_book.fax.label'|trans }}</label>
			                	{% block request_quote_add_contact_book_fax %}{% endblock request_quote_add_contact_book_fax %}
			                </div>
		                </div>
		                <div class="col-md-6 col-lg-6 col-sm-6 col-xs-12">
			                <div class="form-group">
			                	<label class="checkout-label" for="website">{{ 'user.contact_book.website.label'|trans }} &nbsp;({{ 'user.contact_book.website.example'|trans }})</label>
			                	{% block request_quote_add_contact_book_website %}{% endblock request_quote_add_contact_book_website %}
			                </div>
		                </div>
					</div>
					<div class="btn-box-main">
{# 						{% block request_quote_add_contact_book_form_btn_submit %}{% endblock request_quote_add_contact_book_form_btn_submit %}#}
{# 						{% block request_quote_add_contact_book_form_btn_reset %}{% endblock request_quote_add_contact_book_form_btn_reset %}#}
						<input type="button" value="{{ 'user.contact_book.submit.label'|trans }}" class="btn btn-default js-transaction-submit-btn">
						<input type="reset" value="{{ 'reset'|trans({},'app') }}" class="btn btn-default reset_all_fields" />
	                </div>
                </div>
        		<div class="hide">{{ form_rest(contactBookForm, {'display': 'hidden'}) }}</div>
			</form>
				</div>	
                
			</div>
		</div>
	</div>
	{% block request_quote_add_contact_book_js %}{% endblock request_quote_add_contact_book_js %}
{% endblock ajax_body %}