flight.html 13.4 KB
</div>
    <div class="row wrapper border-bottom white-bg page-heading">
        <div class="col-lg-8">
            <h2>Tellus Institute</h2>
        </div>
        <div class="col-lg-4" style="margin-top: 20px; text-align: right;">
            <button type="button" class="btn btn-default btn-sm">Cancel</button>
            <button type="button" class="btn btn-primary btn-sm" ng-click="userData()">Save Changes</button>
        </div>
    </div>
</div>
<div class="wrapper wrapper-content animated fadeInRight">
    <div class="row">
        <div class="col-lg-7">
            <div class="ibox float-e-margins">
                <div class="ibox-title">
                    <div class="pull-left">
                        <h5>Contact Information</h5>
                    </div>
                    <div class="pull-right my-toggle-switch">
                        <div class="switch">
                            <div class="onoffswitch">
                                <input type="checkbox" ng-checked="status === true" ng-model="status" ng-init="status = true" class="onoffswitch-checkbox" id="example1">
                                <label class="onoffswitch-label" for="example1">
                                    <span class="onoffswitch-inner"></span>
                                    <span class="onoffswitch-switch"></span>
                                </label>
                            </div>
                        </div>
                    </div>
                    <div class="clearfix"></div>
                </div>
                <div class="ibox-content">
                    <div class="row">
                        <form role="form">
                            <div class="col-sm-6 b-r">
                                    <div class="form-group"><label>Username</label> <input type="email" placeholder="Email Username" ng-model="user.email" class="form-control"></div>
                                    <div class="form-group"><label>First Name</label> <input type="text" placeholder="First Name" ng-model="user.firstName" class="form-control"></div>
                                    <div class="form-group"><label>Last Name</label> <input type="text" placeholder="Last Name" ng-model="user.lastName" class="form-control"></div>
                                    <!-- <div>
                                        <button class="btn btn-sm btn-primary pull-right m-t-n-xs" type="submit"><strong>Log in</strong></button>
                                        <label> <input type="checkbox" class="i-checks"> Remember me </label>
                                    </div> -->
                                
                            </div>
                            <div class="col-sm-6">
                                <div class="form-group"><label>Password</label> <input type="password" ng-model="user.password" placeholder="Password" class="form-control"></div>
                                <div class="form-group"><label>Phone</label> <input type="number" ng-model="user.phone" placeholder="Phone" class="form-control"></div>
                                <div class="form-group"><label>Mobile</label> <input type="number" ng-model="user.mobile" placeholder="Mobile" class="form-control"></div>
                            </div>
                        </form>
                    </div>
                </div>
            </div>
        </div>
        <div class="col-lg-5">
            <div class="ibox float-e-margins">
                <div class="ibox-title">
                    <h5>Client Notes</h5>
                    
                </div>
                <div class="ibox-content">
                    <div class="row">
                        <form role="form">
                            <textarea class="form-control" rows="10" ng-model="user.clientNote" id="comment"></textarea>
                        </form>
                    </div>
                </div>
                
            </div>
        </div>
    </div>
</div>

<div>
    <div class="wrapper wrapper-content  animated fadeInRight">
        <div class="row">
            <div class="col-lg-7">
                <div class="ibox ">
                    <div class="ibox-content">
                        <p>
                        </p>
                        <div class="jqGrid_wrapper">
                            <table id="table_list_2"></table>
                            <div id="pager_list_2"></div>
                        </div>
                    </div>
                </div>
            </div>
            <div class="col-lg-5">
                <div class="ibox float-e-margins">
                    <div class="ibox-title">
                        <h5>Account Authenticatio & Payment Method</h5>
                        
                    </div>
                    <div class="ibox-content">
                       <!--  <div class="row">
                            <div class="col-md-3">
                                <img src="images/master.png">
                            </div>
                            <div class="col-md-9">
                                <div class="col">
                                    <span style="font-size: large; color: #909394;">**** **** **** 7002</span>
                                </div>
                                <div class="col">
                                    <span><strong>Expiry Date:</strong>10/16</span>
                                </div>
                            </div>
                            <div class="clearfix"></div>
                            <br>

                            <div class="col-md-3">
                                <img src="images/visa1.png">
                            </div>
                            <div class="col-md-9">
                                <div class="col">
                                    <span style="font-size: large; color: #909394;">**** **** **** 1060</span>
                                </div>
                                <div class="col">
                                    <span><strong>Expiry Date:</strong>10/16</span>
                                </div>
                            </div>
                            <div class="clearfix"></div>
                        </div> -->


                        <div class="row">

                            <!-- <form name="myForm">

                                <div class="span3">
                                    <label for="">Card number</label>
                                    <input type="text" class="form-control" ng-model="number">
                                </div>

                                <div class="span3">
                                    <label for="">Name on card </label>
                                    <input type="text" class="form-control">
                                </div>

                                <div class="row"> 
                                    <div class="col-sm-6">
                                        <label for="">Expiry</label>
                                        <input type="text" class="form-control" ng-model="expiry">
                                    </div>

                                    <div class="col-sm-6">
                                        <label for="">CVV</label>
                                        <input type="text" class="form-control" ng-model="cvc">
                                    </div>
                                </div>
                                <div class="span4">
                                    <button type="submit" class="btn btn-primary btn-large">Add</button>
                                </div>
                                
                            </form> -->

                            <div class="container">
                                <div class="row">
                                  <div class="col-xs-12 col-md-4">
                                     <div class="panel panel-default credit-card-box">
                                        <div class="panel-heading display-table" >
                                           <div class="row display-tr" >
                                              <h3 class="panel-title display-td" >Payment Details</h3>
                                              <div class="display-td" >                            
                                                 <img class="img-responsive pull-right" src="http://i76.imgup.net/accepted_c22e0.png">
                                              </div>
                                           </div>
                                        </div>
                                        <div class="panel-body">
                                           <form role="form" id="payment-form">
                                              <div class="row">
                                                 <div class="col-xs-12">
                                                    <div class="form-group">
                                                       <label for="cardNumber">CARD NUMBER</label>
                                                       <div class="input-group">
                                                          <input type="number" ng-model="data.cardNumber" maxlength="16" oninput="javascript: if (this.value.length > this.maxLength) this.value = this.value.slice(0, this.maxLength);" class="form-control" name="cardNumber" placeholder="Valid Card Number" autocomplete="cc-number" required autofocus>
                                                          <span class="input-group-addon"><i class="fa fa-credit-card"></i></span>
                                                       </div>
                                                    </div>
                                                 </div>
                                              </div>
                                              <div class="row">
                                                 <div class="col-xs-7 col-md-7">
                                                    <div class="form-group">
                                                       <label for="cardExpiry"><span class="hidden-xs">EXPIRATION</span><span class="visible-xs-inline">EXP</span> DATE</label>
                                                       <input type="text" ng-model="data.expiryDate" class="form-control" name="cardExpiry" placeholder="MM / YY" autocomplete="cc-exp"
                                                          required>
                                                    </div>
                                                 </div>
                                                 <div class="col-xs-5 col-md-5 pull-right">
                                                    <div class="form-group">
                                                       <label for="cardCVC">CVV CODE</label>
                                                       <input type="number"  maxlength="3" oninput="javascript: if (this.value.length > this.maxLength) this.value = this.value.slice(0, this.maxLength);" class="form-control" name="cardCVC" placeholder="CVC" autocomplete="cc-csc"
                                                          required>
                                                    </div>
                                                 </div>
                                              </div>
                                              <div class="row">
                                                 <div class="col-xs-12">
                                                    <div class="form-group">
                                                       <label for="name">Card Type</label>
                                                        <select class="form-control m-b" name="account" ng-model="data.cardType" style="margin-bottom: 0;">
                                                            <option value="creditCard" selected>Credit Card</option>
                                                            <option value="debitCard">Debit Card</option>
                                                        </select>
                                                    </div>
                                                 </div>
                                              </div>
                                              <div class="row">
                                                 <div class="col-xs-12">
                                                    <button class="btn btn-success btn-lg btn-block" type="submit" ng-click="addCard()">Add</button>
                                                 </div>
                                              </div>
                                              <div class="row" style="display:none;">
                                                 <div class="col-xs-12">
                                                    <p class="payment-errors"></p>
                                                 </div>
                                              </div>
                                           </form>
                                        </div>
                                     </div>
                                  </div>
                                </div>
                            </div>
                                

                        </div>

                    </div>
                    
                </div>
            </div>
        </div>
    </div>
</div>
<script type="text/javascript" src="https://js.stripe.com/v2/"></script>