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- <form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Upstream_no')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-upstream_no" class="form-control" name="row[upstream_no]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Agent_account')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-agent_account" class="form-control" name="row[agent_account]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('User_name')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-user_name" class="form-control" name="row[user_name]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('User_card')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-user_card" class="form-control" name="row[user_card]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Package_no')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-package_no" class="form-control" name="row[package_no]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Seller_account')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-seller_account" class="form-control" name="row[seller_account]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_name')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_name" class="form-control" name="row[order_product_name]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Delivery_gift_product_name')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-delivery_gift_product_name" class="form-control" name="row[delivery_gift_product_name]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Business_type')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-business_type" class="form-control" name="row[business_type]" type="text">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Delivery_type')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-delivery_type" class="form-control" name="row[delivery_type]" type="text">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Month_fee_name')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-month_fee_name" class="form-control" name="row[month_fee_name]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Once_fee_name')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-once_fee_name" class="form-control" name="row[once_fee_name]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_column_name_1')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_column_name_1" class="form-control" name="row[order_product_column_name_1]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_column_value_1')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_column_value_1" class="form-control" name="row[order_product_column_value_1]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_column_name_2')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_column_name_2" class="form-control" name="row[order_product_column_name_2]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_column_value_2')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_column_value_2" class="form-control" name="row[order_product_column_value_2]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_column_name_3')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_column_name_3" class="form-control" name="row[order_product_column_name_3]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_column_value_3')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_column_value_3" class="form-control" name="row[order_product_column_value_3]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_column_name_4')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_column_name_4" class="form-control" name="row[order_product_column_name_4]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_column_value_4')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_column_value_4" class="form-control" name="row[order_product_column_value_4]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_column_name_5')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_column_name_5" class="form-control" name="row[order_product_column_name_5]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_column_value_5')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_column_value_5" class="form-control" name="row[order_product_column_value_5]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_column_name_6')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_column_name_6" class="form-control" name="row[order_product_column_name_6]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_column_value_6')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_column_value_6" class="form-control" name="row[order_product_column_value_6]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_column_name_7')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_column_name_7" class="form-control" name="row[order_product_column_name_7]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_column_value_7')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_column_value_7" class="form-control" name="row[order_product_column_value_7]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_column_name_8')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_column_name_8" class="form-control" name="row[order_product_column_name_8]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Order_product_column_value_8')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-order_product_column_value_8" class="form-control" name="row[order_product_column_value_8]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Delivery_company')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-delivery_company" class="form-control" name="row[delivery_company]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Num_pool')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-num_pool" class="form-control" name="row[num_pool]" type="text" value="">
- </div>
- </div>
- <div class="form-group layer-footer">
- <label class="control-label col-xs-12 col-sm-2"></label>
- <div class="col-xs-12 col-sm-8">
- <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
- <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
- </div>
- </div>
- </form>
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