<fieldset> <legend>Account Details</legend> <?php echo Form::input('email',$o->display('email'),array('label'=>'Email','class'=>'col-md-3','placeholder'=>'Email Address','type'=>'email','required','data-error'=>'Invalid EMAIL address')); ?> <div class="form-group"> <label class="col-md-2 control-label" for="Title">Name</label> <div class="row"> <div class="col-md-1"> <?php echo Form::select('title',StaticList_Title::table(),$o->display('title'),array('class'=>'form-control','required','nocg'=>TRUE)); ?> </div> <div class="col-md-2"> <?php echo Form::input('first_name',$o->display('first_name'),array('class'=>'form-control col-md-2','placeholder'=>'First Name','required','nocg'=>TRUE)); ?> </div> <div class="col-md-3"> <?php echo Form::input('last_name',$o->display('last_name'),array('class'=>'form-control col-md-2','placeholder'=>'Last Name','required','nocg'=>TRUE)); ?> </div> </div> </div> <div class="form-group"> <label class="col-md-2 control-label" for="address1">Address</label> <?php echo Form::input('address1',$o->display('address1'),array('class'=>'col-md-6','placeholder'=>'Address Line 1','required')); ?> <label class="col-md-2 control-label" for="address2"></label> <?php echo Form::input('address2',$o->display('address2'),array('class'=>'col-md-6','placeholder'=>'Address Line 2')); ?> <label class="col-md-2 control-label" for="city"></label> <div class="row"> <div class="col-md-3"> <?php echo Form::input('city',$o->display('city'),array('label'=>'City','placeholder'=>'City','required','nocg'=>TRUE)); ?> </div> <div class="col-md-1"> <?php echo Form::input('state',$o->display('state'),array('label'=>'','class'=>'input-mini','placeholder'=>'State','required','nocg'=>TRUE)); ?> </div> <div class="col-md-1"> <?php echo Form::input('zip',$o->display('zip'),array('label'=>'','class'=>'input-mini','placeholder'=>'Post Code','required','nocg'=>TRUE)); ?> </div> </div> </div> <div class="form-group"> <label class="col-md-2 control-label" for="address1">Country</label> <div class="col-md-3"> <?php echo Form::select('country_id',ORM::factory('Country')->list_select(),$o->country_id,array('class'=>'form-control','required','nocg'=>TRUE)); ?> </div> </div> <?php echo Form::hidden('language_id',Site::language()); ?> </fieldset> <div class="row"> <div class="col-md-offset-1"> <button type="submit" class="btn btn-primary">Save changes</button> <button type="button" class="btn btn-default">Cancel</button> </div> </div>