forked from TFMM/silent-auction
104 lines
4.9 KiB
PHP
104 lines
4.9 KiB
PHP
@extends('tablar::page')
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@section('content')
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<!-- Page header -->
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<div class="page-header d-print-none">
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<div class="container-xl">
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<div class="row g-2 align-items-center">
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<div class="col">
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<h2 class="page-title">Bidder Entry</h2>
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</div>
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</div>
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</div>
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</div>
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<!-- Page body -->
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<div class="page-body">
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<div class="container-xl">
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<div class="row row-cards">
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<div class="col-12">
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<div class="card">
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<div class="card-body">
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<form id="bidder_form" method="post" action="/bidders" enctype="multipart/form-data">
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{{ csrf_field() }}
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<div class="row mb-3">
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<label for="biddernum" class="col-sm-3 col-form-label">Bidder Number:</label>
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<div class="col-sm-4">
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<input type="text" name="biddernum" id="biddernum" required class="form-control" />
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</div>
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</div>
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<div class="row mb-3">
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<label for="bidderfname" class="col-sm-3 col-form-label">First Name:</label>
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<div class="col-sm-4">
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<input type="text" name="bidderfname" id="bidderfname" required class="form-control" />
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</div>
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</div>
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<div class="row mb-3">
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<label for="bidderlname" class="col-sm-3 col-form-label">Last Name:</label>
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<div class="col-sm-4">
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<input type="text" name="bidderlname" id="bidderlname" required class="form-control" />
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</div>
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</div>
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<div class="row mb-3">
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<label for="bidderaddr" class="col-sm-3 col-form-label">Address:</label>
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<div class="col-sm-4">
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<input type="text" name="bidderaddr" id="bidderaddr" required class="form-control" />
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</div>
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</div>
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<div class="row mb-3">
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<label for="biddercity" class="col-sm-3 col-form-label">City:</label>
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<div class="col-sm-4">
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<input type="text" name="biddercity" id="biddercity" required class="form-control" />
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</div>
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</div>
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<div class="row mb-3">
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<label for="bidderstate" class="col-sm-3 col-form-label">State:</label>
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<div class="col-sm-2">
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<input type="text" name="bidderstate" id="bidderstate" required class="form-control" />
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</div>
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</div>
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<div class="row mb-3">
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<label for="bidderzip" class="col-sm-3 col-form-label">Zip:</label>
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<div class="col-sm-2">
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<input type="text" name="bidderzip" id="bidderzip" required class="form-control" />
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</div>
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</div>
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<div class="row mb-3">
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<label for="bidderphone" class="col-sm-3 col-form-label">Phone Number:</label>
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<div class="col-sm-4">
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<input type="text" name="bidderphone" id="bidderphone" required class="form-control" />
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</div>
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</div>
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<div class="row mb-3">
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<label for="bidderemail" class="col-sm-3 col-form-label">Email:</label>
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<div class="col-sm-4">
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<input type="text" name="bidderemail" id="bidderemail" class="form-control" />
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</div>
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</div>
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<div class="row mt-4">
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<div class="col-sm-9 offset-sm-3">
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<button type="submit" class="btn btn-primary">Submit</button>
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</div>
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</div>
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</form>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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@endsection
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@push('js')
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@include('components.tomselect')
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@endpush
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