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175
public/partials/clients/add.html
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175
public/partials/clients/add.html
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<ul class="breadcrumb">
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<li><a href="/clients"><i class="icon-briefcase"></i> Clients</a><span class="divider"></span><li>
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<li class="active">New Client<li>
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</ul>
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<header>
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<h1>New Client</h1>
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</header>
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<div class="form">
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<div class="form-section">
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<div class="section-label">Client Name</div>
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<div class="section-container">
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<div class="form-editor">
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<div class="control-group">
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<label class="control-label">Name</label>
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<div class="controls">
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<input ng-model="model.name" type="text" name="name" class="input-xlarge">
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</div>
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</div>
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<div class="control-group">
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<label class="control-label">Identifier</label>
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<div class="controls">
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<input ng-model="model.identifier" type="text" name="identifier" requiredclass="input-xlarge">
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="form-section">
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<div class="section-label">Address</div>
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<div class="section-container">
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<div class="form-editor">
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<div class="control-group">
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<label class="control-label">Street</label>
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<div class="controls">
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<input ng-model="model.address.street1" type="text" name="street1" requiredclass="input-xlarge">
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</div>
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</div>
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<div class="control-group">
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<label class="control-label">Suite/Unit</label>
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<div class="controls">
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<input ng-model="model.address.street2" type="text" name="street2" class="input-xlarge">
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</div>
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</div>
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<div class="control-group">
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<label class="control-label">City</label>
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<div class="controls">
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<input ng-model="model.address.city" type="text" name="city" class="input-xlarge">
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</div>
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</div>
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<div class="control-group">
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<label class="control-label">State</label>
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<div class="controls">
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<select ng-model="model.address.state" name="state" class="input-xlarge">
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<option value="AL">Alabama</option>
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<option value="AK">Alaska</option>
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<option value="AZ">Arizona</option>
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<option value="AR">Arkansas</option>
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<option value="CA">California</option>
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<option value="CO">Colorado</option>
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<option value="CT">Connecticut</option>
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<option value="DC">District of Columbia</option>
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<option value="DE">Delaware</option>
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<option value="FL">Florida</option>
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<option value="GA">Georgia</option>
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<option value="HI">Hawaii</option>
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<option value="ID">Idaho</option>
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<option value="IL">Illinois</option>
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<option value="ID">Indiana</option>
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<option value="IA">Iowa</option>
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<option value="KS">Kansas</option>
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<option value="KY">Kentucky</option>
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<option value="LA">Louisiana</option>
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<option value="ME">Maine</option>
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<option value="MD">Maryland</option>
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<option value="MA">Massachusetts</option>
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<option value="MI">Michigan</option>
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<option value="MN">Minnesota</option>
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<option value="MS">Mississippi</option>
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<option value="MO">Missouri</option>
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<option value="MT">Montana</option>
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<option value="NE">Nebraska</option>
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<option value="NV">Nevada</option>
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<option value="NH">New Hampshire</option>
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<option value="NJ">New Jersey</option>
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<option value="NM">New Mexico</option>
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<option value="NY">New York</option>
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<option value="NC">North Carolina</option>
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<option value="ND">North Dakota</option>
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<option value="OH">Ohio</option>
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<option value="OK">Oklahoma</option>
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<option value="OR">Oregon</option>
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<option value="PA">Pennsylvania</option>
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<option value="RI">Rhode Island</option>
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<option value="SA">South Carolina</option>
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<option value="SD">South Dakota</option>
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<option value="TN">Tennessee</option>
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<option value="TX">Texas</option>
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<option value="UT">Utah</option>
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<option value="VT">Vermont</option>
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<option value="VA">Virginia</option>
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<option value="WA">Washington</option>
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<option value="WV">West Virginia</option>
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<option value="WI">Wisconsin</option>
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<option value="WY">Wyoming</option>
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</select>
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</div>
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</div>
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<div class="control-group">
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<label class="control-label">Zipcode</label>
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<div class="controls">
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<input ng-model="model.address.zip" type="text" name="zip" class="input-small">
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="form-section">
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<div class="section-label">Primary Contact</div>
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<div class="section-container">
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<div class="form-editor">
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<div class="control-group">
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<label class="control-label">Name</label>
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<div class="controls">
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<input ng-model="primaryContact.name" type="text" class="input-xlarge">
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</div>
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</div>
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<div class="control-group">
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<label class="control-label">Phone</label>
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<div class="controls">
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<input ng-model="primaryContact.phone" type="text" class="input-xlarge">
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</div>
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</div>
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<div class="control-group">
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<label class="control-label">E-Mail</label>
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<div class="controls">
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<input ng-model="primaryContact.email" type="text" class="input-xlarge">
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="form-section">
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<div class="section-label">Secondary Contact</div>
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<div class="section-container">
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<div class="form-editor">
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<div class="control-group">
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<label class="control-label">Name</label>
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<div class="controls">
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<input ng-model="secondaryContact.name" type="text" class="input-xlarge">
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</div>
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</div>
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<div class="control-group">
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<label class="control-label">Phone</label>
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<div class="controls">
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<input ng-model="secondaryContact.phone" type="text" class="input-xlarge">
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</div>
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</div>
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<div class="control-group">
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<label class="control-label">E-Mail</label>
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<div class="controls">
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<input ng-model="secondaryContact.email" type="text" class="input-xlarge">
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="form-section">
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<div class="section-label"> </div>
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<div class="section-container">
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<button ng-click="save()" type="button" class="btn btn-primary">Save</button>
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</div>
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</div>
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</div>
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