106 lines
6.1 KiB
Smarty
106 lines
6.1 KiB
Smarty
<form method="post">
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<div class="panel">
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<div class="panel-heading"><i class="icon-cog"></i> {l s='Nadawca' mod='inpostship'}</div>
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<div class="form-horizontal">
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<div class="rows">
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<div class="form-group">
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<label class="control-label col-lg-3 text-right">{l s='Nazwa' mod='inpostship'}:<sup>*</sup></label>
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<div class="col-lg-3">
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<div class="input-group">
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<span class="input-group-addon"><i class="icon icon-user"></i></span>
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<input type="text" name="sender_name" value="{$sender_name}" class="form-control" />
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-lg-3 text-right">{l s='Nazwa firmy' mod='inpostship'}:<sup>*</sup></label>
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<div class="col-lg-3">
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<div class="input-group">
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<span class="input-group-addon"><i class="icon icon-user"></i></span>
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<input type="text" name="sender_company_name" value="{$sender_company_name}" class="form-control" />
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-lg-3 text-right">{l s='Imię' mod='inpostship'}:<sup>*</sup></label>
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<div class="col-lg-3">
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<div class="input-group">
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<span class="input-group-addon"><i class="icon icon-user"></i></span>
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<input type="text" name="sender_firstname" value="{$sender_firstname}" class="form-control" />
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-lg-3 text-right">{l s='Nazwisko' mod='inpostship'}:<sup>*</sup></label>
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<div class="col-lg-3">
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<div class="input-group">
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<span class="input-group-addon"><i class="icon icon-user"></i></span>
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<input type="text" name="sender_lastname" value="{$sender_lastname}" class="form-control" />
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-lg-3 text-right">{l s='E-mail' mod='inpostship'}:<sup>*</sup></label>
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<div class="col-lg-3">
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<div class="input-group">
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<span class="input-group-addon"><i class="icon icon-envelope"></i></span>
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<input type="text" name="sender_email" value="{$sender_email}" class="form-control" />
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-lg-3 text-right">{l s='Telefon' mod='inpostship'}:<sup>*</sup></label>
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<div class="col-lg-3">
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<div class="input-group">
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<span class="input-group-addon"><i class="icon icon-phone"></i></span>
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<input type="text" name="sender_phone" value="{$sender_phone}" class="form-control" />
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</div>
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<p class="help-block" style="margin-bottom: 0;">Np. 500500500, bez spacji między cyframi oraz bez prefisku (+48)</p>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-lg-3 text-right">{l s='Ulica' mod='inpostship'}:<sup>*</sup></label>
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<div class="col-lg-3">
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<div class="input-group">
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<span class="input-group-addon"><i class="icon icon-home"></i></span>
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<input type="text" name="sender_street" value="{$sender_street}" class="form-control" />
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-lg-3 text-right">{l s='Numer budynku' mod='inpostship'}:<sup>*</sup></label>
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<div class="col-lg-1">
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<div class="input-group">
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<span class="input-group-addon"><i class="icon icon-home"></i></span>
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<input type="text" name="sender_building_number" value="{$sender_building_number}" class="form-control" />
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-lg-3 text-right">{l s='Miejscowość' mod='inpostship'}:<sup>*</sup></label>
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<div class="col-lg-3">
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<div class="input-group">
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<span class="input-group-addon"><i class="icon icon-home"></i></span>
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<input type="text" name="sender_city" value="{$sender_city}" class="form-control" />
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-lg-3 text-right">{l s='Kod pocztowy' mod='inpostship'}:<sup>*</sup></label>
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<div class="col-lg-1">
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<div class="input-group">
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<span class="input-group-addon"><i class="icon icon-home"></i></span>
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<input type="text" name="sender_postcode" value="{$sender_postcode}" class="form-control" />
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</div>
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</div>
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</div>
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</div>{* end row *}
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</div>
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<div class="panel-footer">
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<button id="configuration_form_submit_btn7" class="btn btn-default pull-right" type="submit" value="1" name="submitSaveSender"><i class="process-icon-save"></i> {l s='Save' mod='inpostship'}</button>
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</div>
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</div>
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</form>
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