autofill_edit_address_overlay.html revision 513209b27ff55e2841eac0e4120199c23acce758
1<div class="page hidden" id="autoFillEditAddressOverlay">
2  <h1 id="autoFillAddressTitle"></h1>
3
4  <div class="input">
5    <label id="fullNameLabel">
6      <div><span i18n-content="fullNameLabel"></span></div>
7      <input type="text" class="form" class="form" id="fullName">
8    </label>
9  </div>
10  <div class="input">
11    <label id="companyNameLabel">
12      <div><span i18n-content="companyNameLabel"></span></div>
13      <input type="text" class="form" class="form" id="companyName">
14    </label>
15  </div>
16  <div class="input">
17    <label id="addrLine1Label">
18      <div><span i18n-content="addrLine1Label"></span></div>
19      <input type="text" class="form" class="form" id="addrLine1">
20    </label>
21  </div>
22  <div class="input">
23    <label id="addrLine2Label">
24      <div><span i18n-content="addrLine2Label"></span></div>
25      <input type="text" class="form" class="form" id="addrLine2">
26    </label>
27  </div>
28
29  <div class="table">
30    <div class="row">
31      <div class="input cell">
32        <label id="cityLabel" for="city">
33          <span i18n-content="cityLabel"></span>
34        </label>
35      </div>
36      <div class="input cell">
37        <label id="stateLabel" for="state">
38          <span i18n-content="stateLabel"></span>
39        </label>
40      </div>
41      <div class="input cell">
42        <label id="zipCodeLabel" for="zipCode">
43          <span i18n-content="zipCodeLabel"></span>
44        </label>
45      </div>
46    </div>
47    <div class="row">
48      <div class="input cell">
49        <input type="text" class="form" id="city">
50      </div>
51      <div class="input cell">
52        <input type="text" class="form" id="state">
53      </div>
54      <div class="input cell">
55        <input type="text" class="form" id="zipCode">
56      </div>
57    </div>
58  </div>
59
60  <div class="input">
61    <label id="countryLabel">
62      <div><span i18n-content="countryLabel"></span></div>
63      <input type="text" class="form" class="form" id="country">
64    </label>
65  </div>
66
67  <div class="table">
68    <div class="row">
69      <div class="input cell">
70        <label id="phoneLabel" for="phone">
71          <span i18n-content="phoneLabel"></span>
72        </label>
73      </div>
74      <div class="input cell">
75        <label id="faxLabel" for="fax">
76          <span i18n-content="faxLabel"></span>
77        </label>
78      </div>
79    </div>
80    <div class="row">
81      <div class="input cell">
82        <input type="text" class="form" class="form" id="phone">
83      </div>
84      <div class="input cell">
85        <input type="text" class="form" class="form" id="fax">
86      </div>
87    </div>
88  </div>
89
90  <div class="input">
91    <label id="emailLabel">
92      <div><span i18n-content="emailLabel"></span></div>
93      <input type="text" class="form" class="form" id="email">
94    </label>
95  </div>
96
97  <div class="action-area button-strip">
98    <button type="reset" id="autoFillEditAddressCancelButton"
99            i18n-content="cancel"></button>
100    <button type="submit" id="autoFillEditAddressApplyButton" disabled
101            i18n-content="ok"></button>
102  </div>
103</div>
104