<div>
<div class="card shadow-none mb-0">
<div class="card-header">
<h2>
{if $f_type eq 'edit'}
{$_L['Edit']}
{else}
{$_L['New Company']}
{/if}
</h2>
</div>
<div class="panel-container">
<div class="panel-content">
<div class="card-body">
<form class="form-horizontal" id="ib_modal_form">
<div class="row">
<div class="col-md-6">
<div class="mb-3">
<label for="company_name">{$_L['Company Name']}<small class="red">*</small></label>
<div><input type="text" id="company_name" name="company_name" class="form-control" value="{$val['company_name']}">
</div>
</div>
<div class="mb-3">
<label for="code">{$_L['Code']}<small class="red">*</small></label>
<div><input type="text" id="code" name="code" class="form-control" value="{$val['code']}">
</div>
</div>
{if $config['show_business_number'] eq '1'}
<div class="mb-3">
<label for="business_number">{$config['label_business_number']}</label>
<div><input type="text" id="business_number" name="business_number" class="form-control" value="{$val['business_number']}">
</div>
</div>
{/if}
<div class="mb-3"><label for="url">{$_L['URL']}</label>
<div><input type="text" id="url" name="url" class="form-control" value="{$val['url']}">
</div>
</div>
<div class="mb-3"><label for="email">{$_L['Email']}</label>
<div>
<input type="text" id="email" name="email" class="form-control" value="{$val['email']}">
</div>
</div>
<div class="mb-3"><label for="phone">{$_L['Phone']}</label>
<div><input type="text" id="phone" name="phone" class="form-control" value="{$val['phone']}">
</div>
</div>
{if $config['fax_field'] eq '1'}
<div class="mb-3"><label for="fax">{$_L['Fax']}</label>
<div><input type="text" id="fax" name="fax" class="form-control" value="{$val['fax']}">
</div>
</div>
{/if}
</div>
<div class="col-md-6">
<div class="mb-3"><label for="logo_url">{$_L['Logo URL']}</label>
<div><input type="text" id="logo_url" name="logo_url" class="form-control" value="{$val['logo_url']}">
</div>
</div>
<div class="mb-3"><label for="c_address1">{$_L['Address']}</label>
<input type="text" id="c_address1" name="address1" class="form-control" value="{$val['address1']}">
</div>
<div class="mb-3"><label for="c_city">{$_L['City']}</label>
<div><input type="text" id="c_city" name="city" class="form-control" value="{$val['city']}">
</div>
</div>
<div class="mb-3"><label for="c_state">{$_L['State Region']}</label>
<div><input type="text" id="c_state" name="state" class="form-control" value="{$val['state']}"></div>
</div>
<div class="mb-3"><label for="c_zip">{$_L['ZIP Postal Code']}</label>
<input type="text" id="c_zip" name="zip" class="form-control" value="{$val['zip']}">
</div>
<div class="mb-3"><label for="c_country">{$_L['Country']}</label>
<select name="country" id="c_country" class="form-control country">
<option value="">{$_L['Select Country']}</option>
{$countries}
</select>
</div>
</div>
</div>
<div class="row">
<div class="col-12">
<div class="mb-3">
<button type="submit" class="btn btn-primary modal_submit mt-3">{$_L['Save']}</button>
</div>
</div>
</div>
<input type="hidden" name="f_type" id="f_type" value="{$f_type}">
<input type="hidden" name="cid" id="cid" value="{$val['cid']}">
</form>
</div>
</div>
</div>
</div>
</div>