{extends file="layout.tpl"}

{block name="no-return-functions"}
    {check_auth context="front" roles="CUSTOMER" login_tpl="login"}
{/block}

{block name="breadcrumb"}
    <nav class="nav-breadcrumb" role="navigation" aria-labelledby="breadcrumb-label">
        <strong id="breadcrumb-label">You are here: </strong>
        <ul class="breadcrumb" itemprop="breadcrumb">
            <li itemscope itemtype="http://data-vocabulary.org/Breadcrumb"><a href="{navigate to="index"}" itemprop="url"><span itemprop="title">Home</span></a></li>
            <li itemscope itemtype="http://data-vocabulary.org/Breadcrumb"><a href="{url path="/customer/account"}" itemprop="url"><span itemprop="title">Account</span></a></li>
            <li itemscope itemtype="http://data-vocabulary.org/Breadcrumb" class="active"><span itemprop="title">{intl l="Address"}</span></li>
        </ul>
    </nav><!-- /.nav-breadcrumb -->
{/block}

{block name="main-content"}
    <div class="main">

    <article class="col-main" role="main" aria-labelledby="main-label">

        <h1 id="main-label" class="page-header">{intl l="Create New Address"}</h1>
        {form name="thelia.address.create"}
        <form id="form-address" class="form-horizontal" action="{url path="/address/create"}" method="post" role="form">
            {form_field form=$form field='success_url'}
                <input type="hidden" name="{$name}" value="{url path="/customer/account"}" /> {* the url the user is redirected to on login success *}
            {/form_field}

            {form_field form=$form field='error_message'}
                <input type="hidden" name="{$name}" value="{intl l="missing or invalid data"}" /> {* the url the user is redirected to on login success *}
            {/form_field}
            {form_hidden_fields form=$form}
            {if $form_error}<div class="alert alert-danger">{$form_error_message}</div>{/if}
            <fieldset class="panel">
                <div class="panel-heading">
                    {intl l="Address"}
                </div>

                <div class="panel-body">
                    {form_field form=$form field="label"}
                    <div class="form-group group-label {if $error}has-error{elseif $value != "" && !$error}has-success{/if}">
                        <label class="control-label" for="{$label_attr.for}">{$label}: <span class="required">*</span></label>

                        <div class="control-input">
                            <input type="text" name="{$name}" value="{$value}" id="{$label_attr.for}" class="form-control" placeholder="{intl l="Home address"}" autofocus>
                            {if $error }
                                <span class="help-block"><i class="icon-remove"></i> {$message}</span>
                            {elseif $value != "" && !$error}
                                <span class="help-block"><i class="icon-ok"></i></span>
                            {/if}
                        </div>
                    </div>
                    <!--/.form-group-->
                    {/form_field}

                    {form_field form=$form field="title"}
                        <div class="form-group group-title {if $error}has-error{elseif $value != "" && !$error}has-success{/if}">
                            <label class="control-label" for="{$label_attr.for}">{$label} <span class="required">*</span></label>
                            <div class="control-input">
                                <select name="{$name}" id="{$label_attr.for}" class="form-control" required autofocus>
                                    <option value="">-- {intl l="Select Title"} --</option>
                                    {loop type="title" name="title.list"}
                                        <option value="{$ID}" {if $value == $ID}selected{/if} >{$LONG}</option>
                                    {/loop}
                                </select>
                                {if $error }
                                    <span class="help-block"><i class="icon-remove"></i> {$message}</span>
                                {elseif $value != "" && !$error}
                                    <span class="help-block"><i class="icon-ok"></i></span>
                                {/if}
                            </div>
                        </div><!--/.form-group-->
                    {/form_field}

                    {form_field form=$form field="firstname"}
                        <div class="form-group group-firstname {if $error}has-error{elseif $value != "" && !$error}has-success{/if}">
                            <label class="control-label" for="{$label_attr.for}">{$label}: <span class="required">*</span></label>

                            <div class="control-input">
                                <input type="text" name="{$name}" value="{$value}" id="{$label_attr.for}" class="form-control" placeholder="John" required>
                                {if $error }
                                    <span class="help-block"><i class="icon-remove"></i> {$message}</span>
                                {elseif $value != "" && !$error}
                                    <span class="help-block"><i class="icon-ok"></i></span>
                                {/if}
                            </div>
                        </div>
                        <!--/.form-group-->
                    {/form_field}
                    <!--/.form-group-->

                    {form_field form=$form field="lastname"}
                        <div class="form-group group-lastname {if $error}has-error{elseif $value != "" && !$error}has-success{/if}">
                            <label class="control-label" for="{$label_attr.for}">{$label}: <span class="required">*</span></label>

                            <div class="control-input">
                                <input type="text" name="{$name}" value="{$value}" id="{$label_attr.for}" class="form-control" placeholder="Doe" required>
                                {if $error }
                                    <span class="help-block"><i class="icon-remove"></i> {$message}</span>
                                {elseif $value != "" && !$error}
                                    <span class="help-block"><i class="icon-ok"></i></span>
                                {/if}
                            </div>
                        </div>
                        <!--/.form-group-->
                    {/form_field}

                    {form_field form=$form field="address1"}
                        <div class="form-group group-address1 {if $error}has-error{elseif $value != "" && !$error}has-success{/if}">
                            <label class="control-label" for="{$label_attr.for}">{$label}: <span class="required">*</span></label>

                            <div class="control-input">
                                <input type="text" name="{$name}" value="{$value}" id="{$label_attr.for}" class="form-control" placeholder="Street address" required>
                                {if $error }
                                    <span class="help-block"><i class="icon-remove"></i> {$message}</span>
                                {elseif $value != "" && !$error}
                                    <span class="help-block"><i class="icon-ok"></i></span>
                                {/if}
                            </div>
                        </div>
                        <!--/.form-group-->
                    {/form_field}

                    {form_field form=$form field="address2"}
                        <div class="form-group group-address2 {if $error}has-error{elseif $value != "" && !$error}has-success{/if}">
                            <label class="control-label" for="{$label_attr.for}">{$label}: </label>

                            <div class="control-input">
                                <input type="text" name="{$name}" value="{$value}" id="{$label_attr.for}" class="form-control" placeholder="{intl l="Complementary address"}">
                                {if $error }
                                    <span class="help-block"><i class="icon-remove"></i> {$message}</span>
                                {elseif $value != "" && !$error}
                                    <span class="help-block"><i class="icon-ok"></i></span>
                                {/if}
                            </div>
                        </div>
                        <!--/.form-group-->
                    {/form_field}

                    {form_field form=$form field="zipcode"}
                        <div class="form-group group-zipcode {if $error}has-error{elseif $value != "" && !$error}has-success{/if}">
                            <label class="control-label" for="{$label_attr.for}">{$label}: <span class="required">*</span></label>

                            <div class="control-input">
                                <input type="text" name="{$name}" value="{$value}" id="{$label_attr.for}" class="form-control" placeholder="H2T 2V6" required>
                                {if $error }
                                    <span class="help-block"><i class="icon-remove"></i> {$message}</span>
                                {elseif $value != "" && !$error}
                                    <span class="help-block"><i class="icon-ok"></i></span>
                                {/if}
                            </div>
                        </div>
                        <!--/.form-group-->
                    {/form_field}

                    {form_field form=$form field="city"}
                        <div class="form-group group-city {if $error}has-error{elseif $value != "" && !$error}has-success{/if}">
                            <label class="control-label" for="{$label_attr.for}">{$label}: <span class="required">*</span></label>

                            <div class="control-input">
                                <input type="text" name="{$name}" value="{$value}" id="{$label_attr.for}" class="form-control" placeholder="New York" required>
                                {if $error }
                                    <span class="help-block"><i class="icon-remove"></i> {$message}</span>
                                {elseif $value != "" && !$error}
                                    <span class="help-block"><i class="icon-ok"></i></span>
                                {/if}
                            </div>
                        </div>
                        <!--/.form-group-->
                    {/form_field}

                    {form_field form=$form field="country"}
                        <div class="form-group group-country {if $error}has-error{elseif $value != "" && !$error}has-success{/if}">
                            <label class="control-label" for="{$label_attr.for}">{$label} <span class="required">*</span></label>
                            <div class="control-input">
                                <select name="{$name}" id="{$label_attr.for}" class="form-control" required>
                                    <option value="">-- {intl l="Select Country"} --</option>
                                    {loop type="country" name="country.list"}
                                        <option value="{$ID}" {if $value == $ID}selected{/if} >{$TITLE}</option>
                                    {/loop}
                                </select>
                                {if $error }
                                    <span class="help-block"><i class="icon-remove"></i> {$message}</span>
                                {elseif $value != "" && !$error}
                                    <span class="help-block"><i class="icon-ok"></i></span>
                                {/if}
                            </div>
                        </div><!--/.form-group-->
                    {/form_field}

                    {form_field form=$form field="phone"}
                        <div class="form-group group-phone {if $error}has-error{elseif $value != "" && !$error}has-success{/if}">
                            <label class="control-label" for="{$label_attr.for}">{$label}: </label>

                            <div class="control-input">
                                <input type="text" name="{$name}" value="{$value}" id="{$label_attr.for}" class="form-control" placeholder="">
                                {if $error }
                                    <span class="help-block"><i class="icon-remove"></i> {$message}</span>
                                {elseif $value != "" && !$error}
                                    <span class="help-block"><i class="icon-ok"></i></span>
                                {/if}
                            </div>
                        </div>
                        <!--/.form-group-->
                    {/form_field}

                    {form_field form=$form field="cellphone"}
                        <div class="form-group group-cellphone {if $error}has-error{elseif $value != "" && !$error}has-success{/if}">
                            <label class="control-label" for="{$label_attr.for}">{$label}: </label>

                            <div class="control-input">
                                <input type="text" name="{$name}" value="{$value}" id="{$label_attr.for}" class="form-control" placeholder="">
                                {if $error }
                                    <span class="help-block"><i class="icon-remove"></i> {$message}</span>
                                {elseif $value != "" && !$error}
                                    <span class="help-block"><i class="icon-ok"></i></span>
                                {/if}
                            </div>
                        </div>
                        <!--/.form-group-->
                    {/form_field}
                </div>
            </fieldset>

            {form_field form=$form field="is_default"}
            <div class="form-group group-primary">
                <div class="control-input">
                    <div class="checkbox">
                        <label class="control-label" for="{$label_attr.for}">
                            <input type="checkbox" name="{$name}" id="{$label_attr.for}" value="1"> {$label}
                        </label>
                    </div>
                </div>
            </div>
            <!--/.form-group-->
            {/form_field}

            <div class="form-group group-btn">
                <div class="control-btn">
                    <button type="submit" class="btn btn-submit">{intl l="Create"}</button>
                </div>
            </div>
            <!--/.form-group-->
        </form>
        {/form}
    </article>

    </div><!-- /.layout -->
{/block}