<?php /* Smarty version Smarty-3.1.13, created on 2018-06-12 07:53:09
         compiled from "ui/theme/softhash/modal_add_contact.tpl" */ ?>
<?php /*%%SmartyHeaderCode:7052074585b1fb4254ce8a2-24913320%%*/if(!defined('SMARTY_DIR')) exit('no direct access allowed');
$_valid = $_smarty_tpl->decodeProperties(array (
  'file_dependency' => 
  array (
    '357db1c4119ed28203bf5a69cc878187ebf2d42e' => 
    array (
      0 => 'ui/theme/softhash/modal_add_contact.tpl',
      1 => 1435133566,
      2 => 'file',
    ),
  ),
  'nocache_hash' => '7052074585b1fb4254ce8a2-24913320',
  'function' => 
  array (
  ),
  'variables' => 
  array (
    '_L' => 0,
    'countries' => 0,
  ),
  'has_nocache_code' => false,
  'version' => 'Smarty-3.1.13',
  'unifunc' => 'content_5b1fb4254f1158_14869233',
),false); /*/%%SmartyHeaderCode%%*/?>
<?php if ($_valid && !is_callable('content_5b1fb4254f1158_14869233')) {function content_5b1fb4254f1158_14869233($_smarty_tpl) {?><div class="modal-header">
    <button type="button" class="close" data-dismiss="modal" aria-hidden="true">&times;</button>
    <h3><?php echo $_smarty_tpl->tpl_vars['_L']->value['Add New Contact'];?>
</h3>
</div>
<div class="modal-body">

    <form class="form-horizontal" id="rform">

        <div class="form-group"><label class="col-lg-2 control-label" for="account"><?php echo $_smarty_tpl->tpl_vars['_L']->value['Full Name'];?>
</label>

            <div class="col-lg-10"><input type="text" id="account" name="account" class="form-control" >

            </div>
        </div>

        <div class="form-group"><label class="col-lg-2 control-label" for="company"><?php echo $_smarty_tpl->tpl_vars['_L']->value['Company Name'];?>
</label>

            <div class="col-lg-10"><input type="text" id="company" name="company" class="form-control">

            </div>
        </div>
        
        <div class="form-group"><label class="col-lg-2 control-label" for="email"><?php echo $_smarty_tpl->tpl_vars['_L']->value['Email'];?>
</label>

            <div class="col-lg-10"><input type="text" id="email" name="email" class="form-control" >

            </div>
        </div>
        <div class="form-group"><label class="col-lg-2 control-label" for="phone"><?php echo $_smarty_tpl->tpl_vars['_L']->value['Phone'];?>
</label>

            <div class="col-lg-10"><input type="text" id="phone" name="phone" class="form-control" >

            </div>
        </div>
        <div class="form-group"><label class="col-lg-2 control-label" for="m_address"><?php echo $_smarty_tpl->tpl_vars['_L']->value['Address'];?>
</label>

            <div class="col-lg-10"><input type="text" id="m_address" name="m_address" class="form-control" >

            </div>
        </div>
        <div class="form-group"><label class="col-lg-2 control-label" for="city"><?php echo $_smarty_tpl->tpl_vars['_L']->value['City'];?>
</label>

            <div class="col-lg-10"><input type="text" id="city" name="city" class="form-control" >

            </div>
        </div>
        <div class="form-group"><label class="col-lg-2 control-label" for="state"><?php echo $_smarty_tpl->tpl_vars['_L']->value['State Region'];?>
</label>

            <div class="col-lg-10"><input type="text" id="state" name="state" class="form-control" >

            </div>
        </div>
        <div class="form-group"><label class="col-lg-2 control-label" for="zip"><?php echo $_smarty_tpl->tpl_vars['_L']->value['ZIP Postal Code'];?>
 </label>

            <div class="col-lg-10"><input type="text" id="zip" name="zip" class="form-control" >

            </div>
        </div>
        <div class="form-group"><label class="col-lg-2 control-label" for="country"><?php echo $_smarty_tpl->tpl_vars['_L']->value['Country'];?>
</label>

            <div class="col-lg-10">

                <select name="country" class="country" id="country" class="form-control">
                    <option value=""><?php echo $_smarty_tpl->tpl_vars['_L']->value['Select Country'];?>
</option>
                    <?php echo $_smarty_tpl->tpl_vars['countries']->value;?>

                </select>

            </div>
        </div>


    </form>

</div>
<div class="modal-footer">

    <button type="button" data-dismiss="modal" class="btn btn-danger"><?php echo $_smarty_tpl->tpl_vars['_L']->value['Cancel'];?>
</button>
    <button class="btn btn-primary contact_submit" type="submit" id="contact_submit"><i class="fa fa-check"></i> <?php echo $_smarty_tpl->tpl_vars['_L']->value['Add Contact'];?>
</button>
</div><?php }} ?>