{% extends app.request.get('project_setting').instance_theme_path~":AdminTheme:base.html.twig" %}
{% block breadcrumb %}
	<li><a href="{{ path('office_brain_userbundle_adminuser_viewadminuser') }}">{{ 'user.admin_user.user_list' | trans }}</a> /</li>
	<li>{{ 'user.admin_user.add_user' | trans }}</li>
{% endblock breadcrumb %}
{% block main_page_title %}<h1><i class="fa fa-user"></i>{{ 'user.admin_user.add_user'|trans }}</h1>{% endblock main_page_title %}

{% block main_content %}

{% 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'] %}

<div class="ui-table-block member-add-user-block col-lg-12 col-md-12 col-xs-12">
  <div class="ui-content-block">
    <form action="{{ path('office_brain_userbundle_adminuser_addadminuserpost')}}" method="post" id="admin_user_add" novalidate>
      <div class="row">
        <div class="col-xs-12">
          <h2>{{ 'user.register.personal_info'|trans }}</h2>
        </div>
        <div class="col-xs-12">
          <div class="row">
	            {% if form_fields.fields.firstName.admin == 1 %}
	            	<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
	              		<div class="form-group">
	                		<label class="form-title">{{ 'user.firstName.label'|trans({},'validators') }} {% if 'firstName' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
	                		{{ form_widget(form_user.firstName,{'placeholder': 'user.firstName.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
	                		{{ form_errors(form_user.firstName) }}
	              		</div>
	            	</div>
	            {% endif %}
              	{% if form_fields.fields.middleName.admin == 1 %}
              		<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.middleName.label'|trans({},'validators') }} {% if 'middleName' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                {{ form_widget(form_user.middleName,{'placeholder': 'user.middleName.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
                {{ form_errors(form_user.middleName) }}
              </div>
              </div>
              {% endif %}


              {% if form_fields.fields.lastName.admin == 1 %}
              <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.lastName.label'|trans({},'validators') }} {% if 'lastName' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                {{ form_widget(form_user.lastName,{'placeholder': 'user.lastName.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
                {{ form_errors(form_user.lastName) }}
              </div>
              </div>
              {% endif %}
				<div class="clearfix"></div>

              {% if form_fields.fields.userCompany.admin == 1 %}
              <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.userCompany.label_main'|trans({},'validators') }} <span class="red">*</span></label>
                {{ form_widget(form_user.userCompany,{'placeholder': 'user.userCompany.select'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
                {{ form_errors(form_user.userCompany) }}
              </div>
              </div>
              {% endif %}


            {% if form_fields.fields.jobTitle.admin == 1 %}
            <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.jobTitle.label'|trans({},'validators') }} {% if 'jobTitle' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                {{ form_widget(form_user.jobTitle,{'placeholder': 'user.jobTitle.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
                {{ form_errors(form_user.jobTitle) }}
              </div>
              </div>
            {% endif %}


              {% if form_fields.fields.gender.admin == 1 %}<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.gender.label'|trans({},'validators') }} {% if 'gender' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                {{ form_widget(form_user.gender,{'placeholder': 'user.gender.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
                {{ form_errors(form_user.gender) }}
              </div></div>
              {% endif %}

          </div>
        </div>

      </div>

      <div class="row">
        <div class="col-xs-12">
          <h2>{{ 'user.register.login_info'|trans }}</h2>
        </div>
        <div class="col-xs-12">
          <div class="row">

            {% if form_fields.fields.email.admin == 1 %}<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.email.label'|trans({},'validators') }} {% if 'email' in form_fields.validations %}<span class="red">*</span>{% endif %}</label><em> {{ 'eg_example'|trans }} </em>
                {{ form_widget(form_user.email,{'placeholder': 'user.email.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
                {{ form_errors(form_user.email) }}
              </div>
              </div>
              {% endif %}
            {% if form_fields.fields.username.admin == 1 %}
            <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.username.label'|trans({},'validators') }} {% if 'username' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                {{ form_widget(form_user.loginUsername,{'placeholder': 'user.username.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
                {{ form_errors(form_user.loginUsername) }}
              </div>
            </div>
            {% endif %}

            {% if form_fields.fields.password.admin == 1 %}
            <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.password.label.first'|trans({},'validators') }} {% if 'password' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                {{ form_widget(form_user.password.first,{'placeholder': 'user.password.label.first'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
                {{ form_errors(form_user.password.first) }}
              </div>
            </div>
            {% endif %}
            <div class="clearfix"></div>
            {% if form_fields.fields.password.admin == 1 %}
            <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.password.label.second'|trans({},'validators') }} {% if 'password' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                {{ form_widget(form_user.password.second,{'placeholder': 'user.password.label.second'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
                {{ form_errors(form_user.password.second) }}
              </div>
            </div>
            {% endif %}
          </div>
        </div>

      </div>
      <div class="row">
        <div class="col-xs-12">
          <h2>{{ 'user.register.contact_info'|trans }}</h2>
        </div>
        <div class="col-xs-12">
          <div class="row">
          	{% if form_fields.fields.companyName.admin == 1 %}
          	<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.userCompany.label'|trans({},'validators') }} {% if 'companyName' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                {{ form_widget(form_user.companyName,{'placeholder': 'user.userCompany.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
                {{ form_errors(form_user.companyName) }}
              </div>
            </div>
			<div class="clearfix"></div>
			{% endif %}
            {% if form_fields.fields.street1.admin == 1 %}
            <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.street1.label'|trans({},'validators') }} {% if 'street1' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                {{ form_widget(form_user.street1,{'placeholder': 'user.street1.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
                {{ form_errors(form_user.street1) }}
              </div>
            </div>
            {% endif %}
            {% if form_fields.fields.street2.admin == 1 %}
            <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.street2.label'|trans({},'validators') }} {% if 'street2' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                {{ form_widget(form_user.street2,{'placeholder': 'user.street2.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
                {{ form_errors(form_user.street2) }}
              </div>
            </div>
            {% endif %}
            <div class="clearfix"></div>
            {% if ob_city_dropdown %}
	            {% if form_fields.fields.cityId.admin == 1 %}
	            <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
	              <div class="form-group">
	                <label class="form-title">{{ 'user.cityId.label'|trans({},'validators') }} {% if 'cityId' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
	                {{ form_widget(form_user.cityId,{'placeholder': 'user.cityId.label'|trans({},'validators'), 'attr':{ 'class':'form-control js-city'}}) }}
	                {{ form_errors(form_user.cityId) }}
	              </div>
	            </div>
	            {% endif %}
            {% endif %}
            {% if ob_city_textbox %}
		        {% if form_fields.fields.cityName.admin == 1 %}
		        <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
		          <div class="form-group">
		            <label class="form-title">{{ 'user.cityId.label'|trans({},'validators') }} {% if 'cityName' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
		            {{ form_widget(form_user.cityName,{'placeholder': 'user.cityId.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
		            {{ form_errors(form_user.cityName) }}
		          </div>
		        </div>
		        {% endif %}
	        {% endif %}

        	{% if ob_country_textbox %}
        		{% if form_fields.fields.countryName.admin is defined and form_fields.fields.countryName.admin == 1 %}
            	<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
                  <div class="form-group">
                    <label class="form-title">{{ 'user.countryId.label'|trans({},'validators') }} {% if 'countryName' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                    {{ form_widget(form_user.countryName,{'placeholder': 'user.countryId.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
	                {{ form_errors(form_user.countryName) }}
                  </div>
                </div>
                {% endif %}
            {% elseif ob_country_dropdown %}
            	{% if form_fields.fields.countryId.admin == 1 %}
            	<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
                  <div class="form-group">
                    <label class="form-title">{{ 'user.countryId.label'|trans({},'validators') }} {% if 'countryId' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                    {{ form_widget(form_user.countryId,{'placeholder': 'user.countryId.label'|trans({},'validators'), 'attr':{ 'class':'form-control js-country'}}) }}
                    {{ form_errors(form_user.countryId) }}
                  </div>
                </div>
                {% endif %}
            {% endif %}

            <div class="clearfix"></div>

        	{% if ob_state_textbox %}
        		{% if form_fields.fields.stateName.admin is defined and form_fields.fields.stateName.admin == 1 %}
            	<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
                  <div class="form-group">
                    <label class="form-title">{{ 'user.stateId.label'|trans({},'validators') }} {% if 'stateName' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                    {{ form_widget(form_user.stateName,{'placeholder': 'user.stateId.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
	                {{ form_errors(form_user.stateName) }}
                  </div>
                </div>
                {% endif %}
            {% elseif ob_state_dropdown %}
            	{% if form_fields.fields.stateId.admin == 1 %}
            	<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
                  <div class="form-group">
                    <label class="form-title">{{ 'user.stateId.label'|trans({},'validators') }} {% if 'stateId' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                    {{ form_widget(form_user.stateId,{'placeholder': 'user.stateId.label'|trans({},'validators'), 'attr':{ 'class':'form-control js-state'}}) }}
                    {{ form_errors(form_user.stateId) }}
                  </div>
                </div>
                {% endif %}
            {% endif %}


            {% if form_fields.fields.zipcode.admin == 1 %}
            <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group js-zipcode-validate">
                <label class="form-title">{{ 'user.zipcode.label'|trans({},'validators') }} {% if 'zipcode' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                {{ form_widget(form_user.zipcode,{'placeholder': 'user.zipcode.label'|trans({},'validators'), 'attr':{ 'class':'form-control js-zipcode'}}) }}
                {{ form_errors(form_user.zipcode) }}
              </div>
            </div>
            {% endif %}
            <div class="clearfix"></div>
            {% if form_fields.fields.phone.admin == 1 %}
            <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.phone.label'|trans({},'validators') }} {% if 'phone' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                {{ form_widget(form_user.phone,{'placeholder': 'user.phone.label'|trans({},'validators'), 'attr':{ 'class':'form-control js-phone'}}) }}
                {{ form_errors(form_user.phone) }}
              </div>
            </div>
            {% endif %}
            {% if form_fields.fields.mobile.admin == 1 %}
            <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.mobile.label'|trans({},'validators') }} {% if 'mobile' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                {{ form_widget(form_user.mobile,{'placeholder': 'user.mobile.label'|trans({},'validators'), 'attr':{ 'class':'form-control js-phone'}}) }}
                {{ form_errors(form_user.mobile) }}
              </div>
            </div>
            {% endif %}
            <div class="clearfix"></div>
            {% if form_fields.fields.fax.admin == 1 %}
            <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.fax.label'|trans({},'validators') }} {% if 'fax' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                {{ form_widget(form_user.fax,{'placeholder': 'user.fax.label'|trans({},'validators'), 'attr':{ 'class':'form-control js-phone'}}) }}
                {{ form_errors(form_user.fax) }}
              </div>
            </div>
            {% endif %}
            {% if form_fields.fields.website.admin == 1 %}
            <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.website.label'|trans({},'validators') }} {% if 'website' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                {{ form_widget(form_user.website,{'placeholder': 'user.website.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
                {{ form_errors(form_user.website) }}
              </div>
            </div>
            {% endif %}
            <div class="col-xs-12">
              <div class="checkbox">
                <label>
                  <input type="checkbox" id="checkbox-bill" class="ace" name="billing_address" value="1" >
                  <span class="lbl">{{ 'user.admin_user.billing_info'|trans }}</span> </label>
              </div>
              <div class="checkbox">
                <label>
                  <input type="checkbox" class="ace" id="checkbox-address" name="shipping_address" value="2" />
                  <span class="lbl">{{ 'user.admin_user.shipping_info'|trans }}</span> </label>
              </div>
            </div>
          </div>
        </div>
      </div>
      {% if form_fields.fields.locatedDistributorId.admin == 1 %}
      <div class="row">
        <div class="col-lg-12">
          <h2>{{ 'user.register.select_pref_dist'|trans }}</h2>
        </div>
        <div class="col-lg-6 col-sm-10 col-xs-12">
          <div class="row">
            <div class="col-lg-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.state.label'|trans({},'validators') }}</label>
                <select name="distributor_state" id="distributor_state" class="form-control js-distributor-state" >
                  <option value="">{{ 'user.state.label'|trans({},'validators') }}</option>
                  {% for stId,stName in states %}
                  <option value="{{ stId }}">{{ stName }}</option>
                  {% endfor %}
                </select>
              </div>
            </div>
            <div class="col-lg-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.locatedDistributorId.label'|trans({},'validators') }}{% if 'locatedDistributorId' in form_fields.validations %}<span class="red">*</span>{% endif %} </label>
                <select name="locate_distributor" id="locate_distributor" class="form-control js-locate-distributor" >
                  <option data-state="default" value="">{{ 'user.locatedDistributorId.label'|trans({},'validators') }}</option>
                  {% for dist in distributors %}
                  <option value="{{ dist.id }}" data-state="{{ dist.stateId }}">{{ dist.firstName~' '~dist.lastName }}</option>
                  {% endfor %}
                </select>
              </div>
            </div>
          </div>
        </div>

      </div>
      {% endif %}
      <div class="row">
        <div class="col-lg-12">
          <h2>{{ 'user.register.member_info'|trans }}<span class="red">*</span></h2>
{#           	<div class="form-group">#}
{# 				<label class="membershipreq" for="membershipinfo">{{ 'user.register.note'|trans }}</label>#}
{# 			</div>#}
        </div>
        <div class="col-xs-12">
          <div class="row">

            {% if form_fields.fields.membershipNumber1.admin == 1 %}
            <div class="col-lg-2 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <input type="radio" name="billing" value="1" aria-label="Billing to this address" checked="checked">
                <label class="form-title">{{ 'user.membershipNumber1.label'|trans({},'validators') }} {% if 'membershipNumber1' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
{#                 {{ form_widget(form_user.membershipNumber1,{'placeholder': 'user.membershipNumber1.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}#}
                {{ form_errors(form_user.membershipNumber1) }}
              </div>
            </div>
            {% endif %}
            {% if form_fields.fields.membershipNumber2.admin == 1 %}
            <div class="col-lg-2 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <input type="radio" name="billing" value="2" aria-label="Billing to this address" checked="checked">
                <label class="form-title">{{ 'user.membershipNumber2.label'|trans({},'validators') }} {% if 'membershipNumber2' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
{#                 {{ form_widget(form_user.membershipNumber2,{'placeholder': 'user.membershipNumber2.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}#}
                {{ form_errors(form_user.membershipNumber2) }}
              </div>
            </div>
            {% endif %}
            {% if form_fields.fields.membershipNumber3.admin == 1 %}
            <div class="col-lg-2 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <input type="radio" name="billing" value="3" aria-label="Billing to this address" checked="checked">
                <label class="form-title">{{ 'user.membershipNumber3.label'|trans({},'validators') }} {% if 'membershipNumber3' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
{#                 {{ form_widget(form_user.membershipNumber3,{'placeholder': 'user.membershipNumber3.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}#}
                {{ form_errors(form_user.membershipNumber3) }}
              </div>
            </div>
            {% endif %}
            {% if form_fields.fields.obCustomerId.admin == 1 %}
            <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <label class="form-title">{{ 'user.obCustomerId.label'|trans({},'validators') }} {% if 'obCustomerId' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
                {{ form_widget(form_user.obCustomerId,{'placeholder': 'user.obCustomerId.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}
                {{ form_errors(form_user.obCustomerId) }}
              </div>
            </div>
            {% endif %}
            {% if form_fields.fields.membershipNumber4.admin == 1 %}
            <div class="col-lg-2 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <input type="radio" name="billing" value="4" aria-label="Billing to this address" checked="checked">
                <label class="form-title">{{ 'user.membershipNumber4.label'|trans({},'validators') }} {% if 'membershipNumber4' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
{#                 {{ form_widget(form_user.membershipNumber4,{'placeholder': 'user.membershipNumber4.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}#}
                {{ form_errors(form_user.membershipNumber4) }}
              </div>
            </div>
            {% endif %}
            {% if form_fields.fields.membershipNumber5.admin == 1 %}
            <div class="col-lg-2 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <input type="radio" name="billing" value="5" aria-label="Billing to this address" checked="checked">
                <label class="form-title">{{ 'user.membershipNumber5.label'|trans({},'validators') }} {% if 'membershipNumber5' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
{#                 {{ form_widget(form_user.membershipNumber5,{'placeholder': 'user.membershipNumber5.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}#}
                {{ form_errors(form_user.membershipNumber5) }}
              </div>
            </div>
            {% endif %}
            {% if form_fields.fields.membershipNumber6.admin == 1 %}
            <div class="col-lg-2 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <input type="radio" name="billing" value="6" aria-label="Billing to this address" checked="checked">
                <label class="form-title">Distributor Central {% if 'membershipNumber6' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
{#                 {{ form_widget(form_user.membershipNumber6,{'placeholder': 'user.membershipNumber6.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}#}
                {{ form_errors(form_user.membershipNumber6) }}
              </div>
            </div>
            {% endif %}
						{% if form_fields.fields.membershipNumber7.admin == 1 %}
            <div class="col-lg-2 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <input type="radio" name="billing" value="7" aria-label="Billing to this address" checked="checked">
                <label class="form-title">Other{% if 'membershipNumber6' in form_fields.validations %}<span class="red">*</span>{% endif %}</label>
{#                 {{ form_widget(form_user.membershipNumber6,{'placeholder': 'user.membershipNumber6.label'|trans({},'validators'), 'attr':{ 'class':'form-control'}}) }}#}
                {{ form_errors(form_user.membershipNumber7) }}
              </div>
            </div>
            {% endif %}

          {#}  <div class="col-lg-2 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <input type="radio" name="billing" value="7" aria-label="Billing to this address" checked="checked">
                <label class="form-title"> Not a Member. </label>
              </div>
            </div>{ #}

            <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
              <div class="form-group">
                <input type="text" name="membership_id" id="membership_id" placeholder="Membership ID" class="input" tabindex="9" data-toggle="tooltip" data-placement="bottom" title="" data-original-title="">
              </div>
            </div>

            <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
              {% if form_fields.fields.newslettersUnsubscription.admin == 1 %}
              <div class="form-group">
                <div class="checkbox">
                  <label> {{ form_widget(form_user.newslettersUnsubscription,{'attr':{ 'class':'ace','checked':'checked'}}) }} <span class="lbl">{{ 'user.newslettersUnsubscription.label'|trans({},'validators') }}</span> </label>
                </div>
              </div>
              {% endif %}
            </div>
          </div>
        </div>
      </div>
      <div class="row">
        <div class="col-lg-12 col-xs-12">
          <div class="btn-block">
            <input type="hidden" name="userType" value="{{ userType }}" />
            <button type="submit" class="customize-btn">
              {{ 'submit'|trans({},'app') }}
            </button>
             {% set resetUserURL='office_brain_userbundle_adminuser_addadminuser' %}
             {% if userType=='supplier' %}
                {% set resetUserURL='office_brain_userbundle_adminuser_addadminuser_supplier' %}
             {% elseif userType=='distributor' %}
                {% set resetUserURL='office_brain_userbundle_adminuser_addadminuser_distributor' %}
             {% elseif userType=='end_user' %}
                {% set resetUserURL='office_brain_userbundle_adminuser_addadminuser' %}
             {% endif %}
            <button type="button" class="customize-btn js-reset-search-form" data-reset-url="{{ path(resetUserURL) }}" >
              {{ 'reset'|trans({},'app') }}
            </button>
          </div>
        </div>
      </div>
	      <div style="display:none">
	      	{{ form_rest(form_user, {'display': 'hidden'}) }}
	      </div>
    </form>
  </div>
</div>
<script type="text/javascript">
$(document).ready(function(){
	$('input[type=radio]').on('click', function(){
		set_membership_val();
	});
	$('#membership_id').on('change', function(){
		set_membership_val();
	});
});

function set_membership_val(){
	$('#ob_user_membershipNumber1').val('');
	$('#ob_user_membershipNumber2').val('');
	$('#ob_user_membershipNumber3').val('');
	$('#ob_user_membershipNumber4').val('');
	$('#ob_user_membershipNumber5').val('');
	$('#ob_user_membershipNumber6').val('');
	$('#ob_user_membershipNumber7').val('');
	$('#ob_user_membershipNumber'+$('input[type=radio]:checked').val()).val($('#membership_id').val());
}
</script>
{% endblock main_content %}

{% block footer_js %}
    {{ parent() }}
    {% javascripts '@OfficeBrainPageBundle/Resources/public/js/form-validation.min.js'
        		   '@OfficeBrainPageBundle/Resources/public/js/validation-bootstrap.min.js' %}
    <script src="{{ asset_url }}" type='text/javascript'></script>
    {% endjavascripts %}
{% endblock footer_js %}