<?php
ob_start();
require("includes/check_auth_user.php");
require("includes/dbconnect.php");
include('includes/function.php');

$formname = "Customer Print";
$action   = "customer_print_fr.php";

$admin = $_SESSION["admin_" . $dbname];
$zdb = $_SESSION["zdbyear_" . $dbname];
$myyear = $_SESSION[$myyear];
mysqli_select_db($conn, $zdb);

include("includes/linkshead.php");
?>
</head>
<body>
    <form method='POST' action="<?= $action; ?>">
        <!-- Default box -->
        <div>
            <div class="col-lg-5 col-md-12 col-sm-12 col-xs-12  pad">
                <div class="panel panel-default">
                    <div class="panel-heading">
                        <h3 class="panel-title"><?php Echo $formname; ?></h3>
                        <div class="actions pull-right">
                            <i class="fa fa-chevron-down"></i>
                            <i class="fa fa-times"></i>
                        </div>
                    </div>
                    <div class="panel-body">
                        <div class="row">
                            <div class="col-lg-3 col-md-3 col-sm-3 col-xs-3 text-right pad">
                                <label class="label-control marg">Name</label>
                            </div>
                            <div class="col-lg-5 col-md-5 col-sm-5 col-xs-5 pad">
                                <select class="form-control select2 name" name="name">
                                    <option value=""></option>
                                    <?php
                                    $getname = mysqli_query($conn, "SELECT * FROM `accmast` WHERE `grpcode`='010'")or die(mysqli_error($conn));
                                    While ($name = mysqli_fetch_array($getname)) {
                                        Echo "<option value='$name[accode]'>$name[name]</option>";
                                    }
                                    ?>
                                </select>
                            </div>
                        </div>
                        <div class="row">
                            <div class="col-lg-3 col-md-3 col-sm-3 col-xs-3 text-right pad">
                                <label class="label-control marg">Agency</label>
                            </div>
                            <div class="col-lg-5 col-md-5 col-sm-5 col-xs-5 pad">
                                <select class="form-control select2 agency" name="agency">
                                    <option value=""></option>
                                    <?php
                                    $getaname = mysqli_query($conn, "SELECT * FROM `accmast` WHERE `grpcode`='040'")or die(mysqli_error($conn));
                                    While ($aname = mysqli_fetch_array($getaname)) {
                                        Echo "<option value='$aname[accode]'>$aname[name]</option>";
                                    }
                                    ?>
                                </select>
                            </div>
                        </div>
                        <!-- <div class="row">
                            <div class="col-lg-3 col-md-3 col-sm-3 col-xs-3 text-right pad">
                                <label class="label-control marg">Country</label>
                            </div>
                            <div class="col-lg-5 col-md-5 col-sm-5 col-xs-5 pad">
                                <input type="text" class="form-control country" name="country" >
                            </div>
                        </div> -->
                        <div class="row">
                            <div class="col-lg-3 col-md-3 col-sm-3 col-xs-3 text-right pad">
                                <label class="label-control marg">City</label>
                            </div>
                            <div class="col-lg-5 col-md-5 col-sm-5 col-xs-5 pad">
                                <input type="text" class="form-control city" name="city" >
                            </div>
                        </div>
                        <div class="row">
                            <div class="col-lg-3 col-md-3 col-sm-3 col-xs-3 text-right pad">
                                <label class="label-control marg">State</label>
                            </div>
                            <div class="col-lg-5 col-md-5 col-sm-5 col-xs-5 pad">
                                <select class="form-control select2 " name="state">
                                    <option value=""></option>
                                    <?php
                                    $getst = mysqli_query($conn, "SELECT * FROM `state` order by name")or die(mysqli_error($conn));
                                    While ($st = mysqli_fetch_array($getst)) {
                                        Echo "<option value='$st[name]'>$st[name]</option>";
                                    }
                                    ?>
                                </select>
                            </div>
                        </div>
                        <div class="row">
                            <div class="col-lg-3 col-md-3 col-sm-3 col-xs-3 text-right pad">
                                <label class="label-control marg">Contact Person</label>
                            </div>
                            <div class="col-lg-5 col-md-5 col-sm-5 col-xs-5 pad">
                                <input type="text" class="form-control contpers" name="contpers" >
                            </div>
                        </div>
                    </div>
                    <div class="panel-footer">
                        <!--                        <div class="col-lg-12 text-center pad">
                                                    <button id='view' type='submit' name='view' class="btn btn-pad btn-square " style="background-color:#008D4C; ">
                                                        <i class="fa fa-television" style="color:#ffffff"></i>
                                                    </button>
                                                    <button id='cancel' type="reset" class="btn btn-pad btn-square " style="background-color:red;" onclick="window.close()">
                                                        <i class="fa fa-power-off" style="color:#ffffff"></i>
                                                    </button>
                                                </div>-->
                        <div class="panel-footer">
                                <?php include("includes/but_rep.php"); ?>
                            </div>
                    </div>
                </div>
            </div>
        </div>
    </form>
    <?php include("includes/linksfoot.php"); ?>
</body>
</html>
