97 lines
3.7 KiB
PHP
97 lines
3.7 KiB
PHP
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@extends('layouts.app')
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@section('content')
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<div class="container">
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<div class="row">
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<div class="col-md-10 col-md-offset-1">
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<div class="panel panel-default">
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<div class="panel-heading">Bidder Entry</div>
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<div class="panel-body">
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<form id="bidder_form" required method="post" action="/bidders" enctype="multipart/form-data" class=form-horizontal>
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{{ csrf_field() }}
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<div class=form-group>
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<label for=biddernum class="col-sm-3 col-sm-offset-1 control-label">
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Bidder Number:
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</label>
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<div class=col-sm-2>
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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=form-group>
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<label for=bidderfname class="col-sm-3 col-sm-offset-1 control-label">
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First Name:
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</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=form-group>
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<label for=bidderlname class="col-sm-3 col-sm-offset-1 control-label">
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Last Name:
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</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=form-group>
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<label for=bidderaddr class="col-sm-3 col-sm-offset-1 control-label">
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Address:
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</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=form-group>
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<label for=biddercity class="col-sm-3 col-sm-offset-1 control-label">
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City:
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</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=form-group>
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<label for=bidderstate class="col-sm-3 col-sm-offset-1 control-label">
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State:
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</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=form-group>
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<label for=bidderzip class="col-sm-3 col-sm-offset-1 control-label">
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Zip:
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</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=form-group>
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<label for=bidderphone class="col-sm-3 col-sm-offset-1 control-label">
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Phone Number:
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</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=form-group>
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<label for=bidderemail class="col-sm-3 col-sm-offset-1 control-label">
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Email:
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</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=form-group>
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<div class="col-sm-offset-5 col-sm-10">
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<button type="submit" value="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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@endsection
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