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customer_edit.php
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<?php require_once '/php/verify_session.php';?>
<html lang="en">
<head>
<meta charset="utf-8">
<title> Customer Details </title>
<!-- Latest compiled and minified CSS -->
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.2/css/bootstrap.min.css">
<!-- Optional theme -->
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.2/css/bootstrap-theme.min.css">
<!-- Loading php files-->
<?php require_once 'php/customer_support.php'; ?>
<style>
body {
padding-top: 60px;
}
</style>
</head>
<body>
<div class="row header">
<?php require './includes/navigation.php'; ?>
</div>
<div class="container">
<div class="raw">
<div class="jumbotron" style="border-style:solid; border-color:#337ab7; background-color:rgba(240, 244, 247, 0.4)">
<img src="images/20.jpg" class="img-rounded" class="img-responsive" alt="Responsive image" style="outline-width:thick; outline-style:solid; outline-color:#337ab7">
<a class="btn btn-primary btn-lg" href="./customer.php" role="button" style="float:right; font-weight:bold;">Save</a>
<p></p>
<br>
<div class="panel panel-primary">
<div class="panel-heading">
<h3 class="panel-title" style="font-weight:bold;text-transform:uppercase;">Basic Information</h3>
</div>
<div class="panel-body">
<div class="col-xs-3">
<ul class="list-group">
<li class="list-group-item list-group-item-info" style="font-weight:bold;">First Name</li>
<br>
<li class="list-group-item list-group-item-info" style="font-weight:bold;">Last Name</li>
<br>
<li class="list-group-item list-group-item-info" style="font-weight:bold;">Street</li>
<br>
<li class="list-group-item list-group-item-info" style="font-weight:bold;">City</li>
<br>
<li class="list-group-item list-group-item-info" style="font-weight:bold;">State</li>
<br>
<li class="list-group-item list-group-item-info" style="font-weight:bold;">Email</li>
<br>
<li class="list-group-item list-group-item-info" style="font-weight:bold;">User Name</li>
</ul>
</div>
<div class="col-xs-9">
<div class="list-group">
<a href="#" class="list-group-item list-group-item-info">
<input style="height:20px;" type="text" class="list-control" placeholder="First Name" id="customer_first_name" name="first_name">
</a>
<br>
<a href="#" class="list-group-item list-group-item-info">
<input style="height:20px;" type="text" class="list-control" placeholder="Last Name" id="customer_last_name" name="last_name">
</a>
<br>
<a href="#" class="list-group-item list-group-item-info">
<input style="height:20px;" type="text" class="list-control" placeholder="Street" id="customer_street" name="street">
</a>
<br>
<a href="#" class="list-group-item list-group-item-info">
<input style="height:20px;" type="text" class="list-control" placeholder="City" id="customer_city" name="city">
</a>
<br>
<a href="#" class="list-group-item list-group-item-info">
<input style="height:20px;" type="text" class="list-control" placeholder="State" id="customer_state" name="state">
</a>
<br>
<a href="#" class="list-group-item list-group-item-info">
<input style="height:20px;" type="text" class="list-control" placeholder="Your Email" id="customer_email" name="email">
</a>
<br>
<a href="#" class="list-group-item list-group-item-info">
<input style="height:20px;" type="text" class="list-control" placeholder="Unique User Name" id="customer_user_name" name="user_name">
</a>
</div>
</div>
</div>
</div>
<div class="panel panel-primary">
<div class="panel-heading">
<h3 class="panel-title" style="font-weight:bold;text-transform:uppercase;">Card Details</h3>
</div>
<div class="panel-body">
<div class="col-xs-3">
<ul class="list-group">
<li class="list-group-item list-group-item-info" style="font-weight:bold;">Card Number</li>
<br>
<li class="list-group-item list-group-item-info" style="font-weight:bold;">Name on Card</li>
<br>
<li class="list-group-item list-group-item-info" style="font-weight:bold;">Expiary Date</li>
<br>
<li class="list-group-item list-group-item-info" style="font-weight:bold;">Pin</li>
</ul>
</div>
<div class="col-xs-9">
<div class="list-group">
<a href="#" class="list-group-item list-group-item-info">
<input style="height:20px;" type="text" class="list-control" placeholder="Card Number" id="card_number" name="card_number">
</a>
<br>
<a href="#" class="list-group-item list-group-item-info">
<input style="height:20px;" type="text" class="list-control" placeholder="Name on Card" id="card_name" name="card_name">
</a>
<br>
<a href="#" class="list-group-item list-group-item-info">
<input style="height:20px;" type="date" class="list-control" placeholder="Expiray Date" id="card_exp_date" name="exp_date">
</a>
<br>
<a href="#" class="list-group-item list-group-item-info">
<input style="height:20px;" type="number" class="list-control" placeholder="Pin Number" id="card_pin_number" name="pin_number">
</a>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- Latest compiled and minified JavaScript -->
<script src="http://code.jquery.com/jquery-2.1.3.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.2/js/bootstrap.min.js"></script>
</body>
</html>