{# templates/superadmin/artisans/sa_gestion_artisans_edit_form.html.twig #}
<div class="modal-dialog" role="document">
    <div class="modal-content">
      <div class="modal-header">
        <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button>
        <h4 class="modal-title span-primary" id="myModalLabel">Modifier</h4>
      </div>
      
      <form class="form-horizontal" name="ge_artisans_edit_form" id="ge_artisans_edit_form" method="post" action="">
      <div class="modal-body" style="overflow-y:auto;max-height:525px;">
        <div class="col-sm-12 n-reservation">N° {{ artisan.id }}</div>
        
        <div class="form-group fg-m-bottom">
            <label for="societe" class="col-sm-3 control-label">Société *</label>
            <div class="col-sm-8">
                <input type="text" class="form-control" name="form[societe]" id="societe" value="{{ artisan.societe }}">
            </div><div class="col-sm-1"></div>
            <div class="col-sm-offset-3 col-sm-9 fm-error" id="societe-error"></div>
        </div>
        
        <div class="form-group fg-m-bottom">
            <label for="gerant" class="col-sm-3 control-label">Gérant</label>
            <div class="col-sm-8">
                <input type="text" class="form-control" name="form[gerant]" id="gerant" value="{{ artisan.gerant }}">
            </div><div class="col-sm-1"></div>
            <div class="col-sm-offset-3 col-sm-9 fm-error" id="gerant-error"></div>
        </div>
        
        <div class="form-group fg-m-bottom">
            <label for="adresse" class="col-sm-3 control-label">Adresse *</label>
            <div class="col-sm-8">
                <textarea class="form-control" name="form[adresse]" id="adresse" placeholder="" rows="2" style="resize:none;">{{ artisan.adresse }}</textarea>
            </div><div class="col-sm-1"></div>
            <div class="col-sm-offset-3 col-sm-9 fm-error" id="adresse-error"></div>
        </div>
        
        <div class="form-group fg-m-bottom">
            <label class="col-sm-3 control-label">Ville</label>
            <div class="col-sm-6" style="padding-top:5px;">{% if artisan.idVille > 0 %}{{ artisan.ville }}{% else %}{{ artisan.a_ville }}{% endif %}</div><div class="col-sm-3"></div>
            <div class="col-sm-offset-3 col-sm-9 fm-error" id="tel-error"></div>
        </div>
        
        <div class="form-group fg-m-bottom">
            <label class="col-sm-3 control-label">Code postal</label>
            <div class="col-sm-6" style="padding-top:5px;">{% if artisan.idVille > 0 %}{{ artisan.cp }}{% else %}{{ artisan.a_cp }}{% endif %}</div><div class="col-sm-3"></div>
            <div class="col-sm-offset-3 col-sm-9 fm-error" id="tel-error"></div>
        </div>
        
        <div class="form-group fg-m-bottom">
            <label for="email" class="col-sm-3 control-label">Email *</label>
            <div class="col-sm-8">
                <input type="text" class="form-control" name="form[email]" id="email" value="{{ artisan.email }}">
            </div><div class="col-sm-1"></div>
            <div class="col-sm-offset-3 col-sm-9 fm-error" id="email-error"></div>
        </div>
        
        <div class="form-group fg-m-bottom">
            <label for="tel" class="col-sm-3 control-label">Tél.</label>
            <div class="col-sm-3">
                <input type="text" class="form-control" name="form[tel]" id="tel" value="{{ artisan.tel }}">
            </div><div class="col-sm-6"></div>
            <div class="col-sm-offset-3 col-sm-9 fm-error" id="tel-error"></div>
        </div>
        
        <div class="form-group fg-m-bottom">
            <label for="mobile" class="col-sm-3 control-label">Mobile</label>
            <div class="col-sm-3">
                <input type="text" class="form-control" name="form[mobile]" id="mobile" value="{{ artisan.mobile }}">
            </div><div class="col-sm-6"></div>
            <div class="col-sm-offset-3 col-sm-9 fm-error" id="mobile-error"></div>
        </div>
        
        <div class="form-group fg-m-bottom">
            <label for="mobileBis" class="col-sm-3 control-label">Tél. / Mobile (2)</label>
            <div class="col-sm-3">
                <input type="text" class="form-control" name="form[mobileBis]" id="mobileBis" value="{{ artisan.mobileBis }}">
            </div><div class="col-sm-6"></div>
            <div class="col-sm-offset-3 col-sm-9 fm-error" id="mobile-bis-error"></div>
        </div>
        
        <div class="form-group fg-m-bottom">
            <label for="siret" class="col-sm-3 control-label">N° SIRET</label>
            <div class="col-sm-6">
                <input type="text" class="form-control" name="form[siret]" id="siret" value="{{ artisan.siret }}">
            </div><div class="col-sm-3"></div>
            <div class="col-sm-offset-3 col-sm-9 fm-error" id="siret-error"></div>
        </div>
        
        <div class="form-group fg-m-bottom">
            <label for="tva" class="col-sm-3 control-label">N° TVA</label>
            <div class="col-sm-6">
                <input type="text" class="form-control" name="form[tva]" id="tva" value="{{ artisan.tva }}">
            </div><div class="col-sm-3"></div>
            <div class="col-sm-offset-3 col-sm-9 fm-error" id="tva-error"></div>
        </div>
        
      </div>
      <div class="modal-footer">
        <input type="button" name="ge_artisans_edit_submit" id="ge_artisans_edit_submit" value="Modifier" class="btn btn-primary">
        <input type="hidden" name="form[artisan_id]" id="artisan_id" value="{{ artisan.id }}">
        <input type="hidden" name="form[pass_email]" id="form_pass_email" value="1">
        <input type="hidden" name="ge_artisans_edit" id="ge_artisans_edit" value="ge_artisans_edit">
      </div>
      </form>
    </div>
</div>