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Direktori : /var/www/html/bbw/farmaci/kritik-portale/module/smartadmin/ajax/
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Current File : /var/www/html/bbw/farmaci/kritik-portale/module/smartadmin/ajax/form-templates.html

<div class="row">
	<div class="col-xs-12 col-sm-9 col-md-9 col-lg-9">
		<h1 class="page-title txt-color-blueDark">
			
			<!-- PAGE HEADER -->
			<i class="fa-fw fa fa-pencil-square-o"></i> 
				Forms
			<span>>  
				Form Layouts
			</span>
		</h1>
	</div>
	
	<div class="col-xs-12 col-sm-3 col-md-3 col-lg-3">
		
		<!-- Button trigger modal -->
		<a href="ajax/modal-content/model-content-2.html" data-toggle="modal" data-target="#remoteModal" class="btn btn-success btn-lg pull-right header-btn hidden-mobile">
			<i class="fa fa-circle-arrow-up fa-lg"></i> 
			Launch form modal
		</a>
		
		<!-- MODAL PLACE HOLDER -->
		<div class="modal fade" id="remoteModal" tabindex="-1" role="dialog" aria-labelledby="remoteModalLabel" aria-hidden="true">
			<div class="modal-dialog">
				<div class="modal-content"></div>
			</div>
		</div>
		<!-- END MODAL -->
		
	</div>
</div>

<div class="alert alert-block alert-success">
	<a class="close" data-dismiss="alert" href="#">×</a>
	<h4 class="alert-heading"><i class="fa fa-check-square-o"></i> Check validation!</h4>
	<p>
		You may also check the form validation by clicking on the form action button. Please try and see the results below!
	</p>
</div>

<!-- widget grid -->
<section id="widget-grid" class="">


	<!-- START ROW -->

	<div class="row">

		<!-- NEW COL START -->
		<article class="col-sm-12 col-md-12 col-lg-6">
			
			<!-- Widget ID (each widget will need unique ID)-->
			<div class="jarviswidget" id="wid-id-1" data-widget-editbutton="false" data-widget-custombutton="false">
				<!-- widget options:
					usage: <div class="jarviswidget" id="wid-id-0" data-widget-editbutton="false">
					
					data-widget-colorbutton="false"	
					data-widget-editbutton="false"
					data-widget-togglebutton="false"
					data-widget-deletebutton="false"
					data-widget-fullscreenbutton="false"
					data-widget-custombutton="false"
					data-widget-collapsed="true" 
					data-widget-sortable="false"
					
				-->
				<header>
					<span class="widget-icon"> <i class="fa fa-edit"></i> </span>
					<h2>Checkout Form </h2>				
					
				</header>

				<!-- widget div-->
				<div>
					
					<!-- widget edit box -->
					<div class="jarviswidget-editbox">
						<!-- This area used as dropdown edit box -->
						
					</div>
					<!-- end widget edit box -->
					
					<!-- widget content -->
					<div class="widget-body no-padding">
						
						<form action="" id="checkout-form" class="smart-form" novalidate="novalidate">

							<fieldset>
								<div class="row">
									<section class="col col-6">
										<label class="input"> <i class="icon-prepend fa fa-user"></i>
											<input type="text" name="fname" placeholder="First name">
										</label>
									</section>
									<section class="col col-6">
										<label class="input"> <i class="icon-prepend fa fa-user"></i>
											<input type="text" name="lname" placeholder="Last name">
										</label>
									</section>
								</div>

								<div class="row">
									<section class="col col-6">
										<label class="input"> <i class="icon-prepend fa fa-envelope-o"></i>
											<input type="email" name="email" placeholder="E-mail">
										</label>
									</section>
									<section class="col col-6">
										<label class="input"> <i class="icon-prepend fa fa-phone"></i>
											<input type="tel" name="phone" placeholder="Phone" data-mask="(999) 999-9999">
										</label>
									</section>
								</div>
							</fieldset>

							<fieldset>
								<div class="row">
									<section class="col col-5">
										<label class="select">
											<select name="country">
												<option value="0" selected="" disabled="">Country</option>
												<option value="244">Aaland Islands</option>
												<option value="1">Afghanistan</option>
												<option value="2">Albania</option>
												<option value="3">Algeria</option>
												<option value="4">American Samoa</option>
												<option value="5">Andorra</option>
												<option value="6">Angola</option>
												<option value="7">Anguilla</option>
												<option value="8">Antarctica</option>
												<option value="9">Antigua and Barbuda</option>
												<option value="10">Argentina</option>
												<option value="11">Armenia</option>
												<option value="12">Aruba</option>
												<option value="13">Australia</option>
												<option value="14">Austria</option>
												<option value="15">Azerbaijan</option>
												<option value="16">Bahamas</option>
												<option value="17">Bahrain</option>
												<option value="18">Bangladesh</option>
												<option value="19">Barbados</option>
												<option value="20">Belarus</option>
												<option value="21">Belgium</option>
												<option value="22">Belize</option>
												<option value="23">Benin</option>
												<option value="24">Bermuda</option>
												<option value="25">Bhutan</option>
												<option value="26">Bolivia</option>
												<option value="245">Bonaire, Sint Eustatius and Saba</option>
												<option value="27">Bosnia and Herzegovina</option>
												<option value="28">Botswana</option>
												<option value="29">Bouvet Island</option>
												<option value="30">Brazil</option>
												<option value="31">British Indian Ocean Territory</option>
												<option value="32">Brunei Darussalam</option>
												<option value="33">Bulgaria</option>
												<option value="34">Burkina Faso</option>
												<option value="35">Burundi</option>
												<option value="36">Cambodia</option>
												<option value="37">Cameroon</option>
												<option value="38">Canada</option>
												<option value="251">Canary Islands</option>
												<option value="39">Cape Verde</option>
												<option value="40">Cayman Islands</option>
												<option value="41">Central African Republic</option>
												<option value="42">Chad</option>
												<option value="43">Chile</option>
												<option value="44">China</option>
												<option value="45">Christmas Island</option>
												<option value="46">Cocos (Keeling) Islands</option>
												<option value="47">Colombia</option>
												<option value="48">Comoros</option>
												<option value="49">Congo</option>
												<option value="50">Cook Islands</option>
												<option value="51">Costa Rica</option>
												<option value="52">Cote D'Ivoire</option>
												<option value="53">Croatia</option>
												<option value="54">Cuba</option>
												<option value="246">Curacao</option>
												<option value="55">Cyprus</option>
												<option value="56">Czech Republic</option>
												<option value="237">Democratic Republic of Congo</option>
												<option value="57">Denmark</option>
												<option value="58">Djibouti</option>
												<option value="59">Dominica</option>
												<option value="60">Dominican Republic</option>
												<option value="61">East Timor</option>
												<option value="62">Ecuador</option>
												<option value="63">Egypt</option>
												<option value="64">El Salvador</option>
												<option value="65">Equatorial Guinea</option>
												<option value="66">Eritrea</option>
												<option value="67">Estonia</option>
												<option value="68">Ethiopia</option>
												<option value="69">Falkland Islands (Malvinas)</option>
												<option value="70">Faroe Islands</option>
												<option value="71">Fiji</option>
												<option value="72">Finland</option>
												<option value="74">France, skypolitan</option>
												<option value="75">French Guiana</option>
												<option value="76">French Polynesia</option>
												<option value="77">French Southern Territories</option>
												<option value="126">FYROM</option>
												<option value="78">Gabon</option>
												<option value="79">Gambia</option>
												<option value="80">Georgia</option>
												<option value="81">Germany</option>
												<option value="82">Ghana</option>
												<option value="83">Gibraltar</option>
												<option value="84">Greece</option>
												<option value="85">Greenland</option>
												<option value="86">Grenada</option>
												<option value="87">Guadeloupe</option>
												<option value="88">Guam</option>
												<option value="89">Guatemala</option>
												<option value="241">Guernsey</option>
												<option value="90">Guinea</option>
												<option value="91">Guinea-Bissau</option>
												<option value="92">Guyana</option>
												<option value="93">Haiti</option>
												<option value="94">Heard and Mc Donald Islands</option>
												<option value="95">Honduras</option>
												<option value="96">Hong Kong</option>
												<option value="97">Hungary</option>
												<option value="98">Iceland</option>
												<option value="99">India</option>
												<option value="100">Indonesia</option>
												<option value="101">Iran (Islamic Republic of)</option>
												<option value="102">Iraq</option>
												<option value="103">Ireland</option>
												<option value="104">Israel</option>
												<option value="105">Italy</option>
												<option value="106">Jamaica</option>
												<option value="107">Japan</option>
												<option value="240">Jersey</option>
												<option value="108">Jordan</option>
												<option value="109">Kazakhstan</option>
												<option value="110">Kenya</option>
												<option value="111">Kiribati</option>
												<option value="113">Korea, Republic of</option>
												<option value="114">Kuwait</option>
												<option value="115">Kyrgyzstan</option>
												<option value="116">Lao People's Democratic Republic</option>
												<option value="117">Latvia</option>
												<option value="118">Lebanon</option>
												<option value="119">Lesotho</option>
												<option value="120">Liberia</option>
												<option value="121">Libyan Arab Jamahiriya</option>
												<option value="122">Liechtenstein</option>
												<option value="123">Lithuania</option>
												<option value="124">Luxembourg</option>
												<option value="125">Macau</option>
												<option value="127">Madagascar</option>
												<option value="128">Malawi</option>
												<option value="129">Malaysia</option>
												<option value="130">Maldives</option>
												<option value="131">Mali</option>
												<option value="132">Malta</option>
												<option value="133">Marshall Islands</option>
												<option value="134">Martinique</option>
												<option value="135">Mauritania</option>
												<option value="136">Mauritius</option>
												<option value="137">Mayotte</option>
												<option value="138">Mexico</option>
												<option value="139">Micronesia, Federated States of</option>
												<option value="140">Moldova, Republic of</option>
												<option value="141">Monaco</option>
												<option value="142">Mongolia</option>
												<option value="242">Montenegro</option>
												<option value="143">Montserrat</option>
												<option value="144">Morocco</option>
												<option value="145">Mozambique</option>
												<option value="146">Myanmar</option>
												<option value="147">Namibia</option>
												<option value="148">Nauru</option>
												<option value="149">Nepal</option>
												<option value="150">Netherlands</option>
												<option value="151">Netherlands Antilles</option>
												<option value="152">New Caledonia</option>
												<option value="153">New Zealand</option>
												<option value="154">Nicaragua</option>
												<option value="155">Niger</option>
												<option value="156">Nigeria</option>
												<option value="157">Niue</option>
												<option value="158">Norfolk Island</option>
												<option value="112">North Korea</option>
												<option value="159">Northern Mariana Islands</option>
												<option value="160">Norway</option>
												<option value="161">Oman</option>
												<option value="162">Pakistan</option>
												<option value="163">Palau</option>
												<option value="247">Palestinian Territory, Occupied</option>
												<option value="164">Panama</option>
												<option value="165">Papua New Guinea</option>
												<option value="166">Paraguay</option>
												<option value="167">Peru</option>
												<option value="168">Philippines</option>
												<option value="169">Pitcairn</option>
												<option value="170">Poland</option>
												<option value="171">Portugal</option>
												<option value="172">Puerto Rico</option>
												<option value="173">Qatar</option>
												<option value="174">Reunion</option>
												<option value="175">Romania</option>
												<option value="176">Russian Federation</option>
												<option value="177">Rwanda</option>
												<option value="178">Saint Kitts and Nevis</option>
												<option value="179">Saint Lucia</option>
												<option value="180">Saint Vincent and the Grenadines</option>
												<option value="181">Samoa</option>
												<option value="182">San Marino</option>
												<option value="183">Sao Tome and Principe</option>
												<option value="184">Saudi Arabia</option>
												<option value="185">Senegal</option>
												<option value="243">Serbia</option>
												<option value="186">Seychelles</option>
												<option value="187">Sierra Leone</option>
												<option value="188">Singapore</option>
												<option value="189">Slovak Republic</option>
												<option value="190">Slovenia</option>
												<option value="191">Solomon Islands</option>
												<option value="192">Somalia</option>
												<option value="193">South Africa</option>
												<option value="194">South Georgia &amp; South Sandwich Islands</option>
												<option value="248">South Sudan</option>
												<option value="195">Spain</option>
												<option value="196">Sri Lanka</option>
												<option value="249">St. Barthelemy</option>
												<option value="197">St. Helena</option>
												<option value="250">St. Martin (French part)</option>
												<option value="198">St. Pierre and Miquelon</option>
												<option value="199">Sudan</option>
												<option value="200">Suriname</option>
												<option value="201">Svalbard and Jan Mayen Islands</option>
												<option value="202">Swaziland</option>
												<option value="203">Sweden</option>
												<option value="204">Switzerland</option>
												<option value="205">Syrian Arab Republic</option>
												<option value="206">Taiwan</option>
												<option value="207">Tajikistan</option>
												<option value="208">Tanzania, United Republic of</option>
												<option value="209">Thailand</option>
												<option value="210">Togo</option>
												<option value="211">Tokelau</option>
												<option value="212">Tonga</option>
												<option value="213">Trinidad and Tobago</option>
												<option value="214">Tunisia</option>
												<option value="215">Turkey</option>
												<option value="216">Turkmenistan</option>
												<option value="217">Turks and Caicos Islands</option>
												<option value="218">Tuvalu</option>
												<option value="219">Uganda</option>
												<option value="220">Ukraine</option>
												<option value="221">United Arab Emirates</option>
												<option value="222">United Kingdom</option>
												<option value="223">United States</option>
												<option value="224">United States Minor Outlying Islands</option>
												<option value="225">Uruguay</option>
												<option value="226">Uzbekistan</option>
												<option value="227">Vanuatu</option>
												<option value="228">Vatican City State (Holy See)</option>
												<option value="229">Venezuela</option>
												<option value="230">Viet Nam</option>
												<option value="231">Virgin Islands (British)</option>
												<option value="232">Virgin Islands (U.S.)</option>
												<option value="233">Wallis and Futuna Islands</option>
												<option value="234">Western Sahara</option>
												<option value="235">Yemen</option>
												<option value="238">Zambia</option>
												<option value="239">Zimbabwe</option>
											</select> <i></i> </label>
									</section>

									<section class="col col-4">
										<label class="input">
											<input type="text" name="city" placeholder="City">
										</label>
									</section>

									<section class="col col-3">
										<label class="input">
											<input type="text" name="code" placeholder="Post code">
										</label>
									</section>
								</div>

								<section>
									<label for="address" class="input">
										<input type="text" name="address" placeholder="Address">
									</label>
								</section>

								<section>
									<label class="textarea"> 										
										<textarea rows="3" name="info" placeholder="Additional info"></textarea> 
									</label>
								</section>
							</fieldset>

							<fieldset>
								<section>
									<div class="inline-group">
										<label class="radio">
											<input type="radio" name="radio-inline" checked="">
											<i></i>Visa</label>
										<label class="radio">
											<input type="radio" name="radio-inline">
											<i></i>MasterCard</label>
										<label class="radio">
											<input type="radio" name="radio-inline">
											<i></i>American Express</label>
									</div>
								</section>

								<section>
									<label class="input">
										<input type="text" name="name" placeholder="Name on card">
									</label>
								</section>

								<div class="row">
									<section class="col col-10">
										<label class="input">
											<input type="text" name="card" placeholder="Card number" data-mask="9999-9999-9999-9999">
										</label>
									</section>
									<section class="col col-2">
										<label class="input">
											<input type="text" name="cvv" placeholder="CVV2" data-mask="999">
										</label>
									</section>
								</div>

								<div class="row">
									<label class="label col col-4">Expiration date</label>
									<section class="col col-5">
										<label class="select">
											<select name="month">
												<option value="0" selected="" disabled="">Month</option>
												<option value="1">January</option>
												<option value="1">February</option>
												<option value="3">March</option>
												<option value="4">April</option>
												<option value="5">May</option>
												<option value="6">June</option>
												<option value="7">July</option>
												<option value="8">August</option>
												<option value="9">September</option>
												<option value="10">October</option>
												<option value="11">November</option>
												<option value="12">December</option>
											</select> <i></i> </label>
									</section>
									<section class="col col-3">
										<label class="input">
											<input type="text" name="year" placeholder="Year" data-mask="2099">
										</label>
									</section>
								</div>
							</fieldset>

							<footer>
								<button type="submit" class="btn btn-primary">
									Validate Form
								</button>
							</footer>
						</form>

					</div>
					<!-- end widget content -->
					
				</div>
				<!-- end widget div -->
				
			</div>
			<!-- end widget -->
			
			<!-- Widget ID (each widget will need unique ID)-->
			<div class="jarviswidget" id="wid-id-3" data-widget-editbutton="false" data-widget-custombutton="false">
				<!-- widget options:
					usage: <div class="jarviswidget" id="wid-id-0" data-widget-editbutton="false">
					
					data-widget-colorbutton="false"	
					data-widget-editbutton="false"
					data-widget-togglebutton="false"
					data-widget-deletebutton="false"
					data-widget-fullscreenbutton="false"
					data-widget-custombutton="false"
					data-widget-collapsed="true" 
					data-widget-sortable="false"
					
				-->
				<header>
					<span class="widget-icon"> <i class="fa fa-edit"></i> </span>
					<h2>Registration form </h2>				
					
				</header>

				<!-- widget div-->
				<div>
					
					<!-- widget edit box -->
					<div class="jarviswidget-editbox">
						<!-- This area used as dropdown edit box -->
						
					</div>
					<!-- end widget edit box -->
					
					<!-- widget content -->
					<div class="widget-body no-padding">
						
						<form action="" id="order-form" class="smart-form" novalidate="novalidate">
							<header>
								Order services
							</header>

							<fieldset>
								<div class="row">
									<section class="col col-6">
										<label class="input"> <i class="icon-append fa fa-user"></i>
											<input type="text" name="name" placeholder="Name">
										</label>
									</section>
									<section class="col col-6">
										<label class="input"> <i class="icon-append fa fa-briefcase"></i>
											<input type="text" name="company" placeholder="Company">
										</label>
									</section>
								</div>

								<div class="row">
									<section class="col col-6">
										<label class="input"> <i class="icon-append fa fa-envelope-o"></i>
											<input type="email" name="email" placeholder="E-mail">
										</label>
									</section>
									<section class="col col-6">
										<label class="input"> <i class="icon-append fa fa-phone"></i>
											<input type="tel" name="phone" placeholder="Phone" data-mask="(999) 999-9999">
										</label>
									</section>
								</div>
							</fieldset>

							<fieldset>
								<div class="row">
									<section class="col col-6">
										<label class="select">
											<select name="interested">
												<option value="0" selected="" disabled="">Interested in</option>
												<option value="1">design</option>
												<option value="1">development</option>
												<option value="2">illustration</option>
												<option value="2">branding</option>
												<option value="3">video</option>
											</select> <i></i> </label>
									</section>
									<section class="col col-6">
										<label class="select">
											<select name="budget">
												<option value="0" selected="" disabled="">Budget</option>
												<option value="1">less than 5000$</option>
												<option value="2">5000$ - 10000$</option>
												<option value="3">10000$ - 20000$</option>
												<option value="4">more than 20000$</option>
											</select> <i></i> </label>
									</section>
								</div>

								<div class="row">
									<section class="col col-6">
										<label class="input"> <i class="icon-append fa fa-calendar"></i>
											<input type="text" name="startdate" id="startdate" placeholder="Expected start date">
										</label>
									</section>
									<section class="col col-6">
										<label class="input"> <i class="icon-append fa fa-calendar"></i>
											<input type="text" name="finishdate" id="finishdate" placeholder="Expected finish date">
										</label>
									</section>
								</div>

								<section>
									<label for="file" class="input input-file">
										<div class="button"><input type="file" name="file" onchange="this.parentNode.nextSibling.value = this.value">Browse</div><input type="text" placeholder="Include some files" readonly="">
									</label>
								</section>

								<section>
									<label class="textarea"> <i class="icon-append fa fa-comment"></i> 										
										<textarea rows="5" name="comment" placeholder="Tell us about your project"></textarea> 
									</label>
								</section>
							</fieldset>
							<footer>
								<button type="submit" class="btn btn-primary">
									Validate Form
								</button>
							</footer>
						</form>

					</div>
					<!-- end widget content -->
					
				</div>
				<!-- end widget div -->
				
			</div>
			<!-- end widget -->				

			<!-- Widget ID (each widget will need unique ID)-->
			<div class="jarviswidget" id="wid-id-7" data-widget-editbutton="false" data-widget-custombutton="false">
				<!-- widget options:
					usage: <div class="jarviswidget" id="wid-id-0" data-widget-editbutton="false">
					
					data-widget-colorbutton="false"	
					data-widget-editbutton="false"
					data-widget-togglebutton="false"
					data-widget-deletebutton="false"
					data-widget-fullscreenbutton="false"
					data-widget-custombutton="false"
					data-widget-collapsed="true" 
					data-widget-sortable="false"
					
				-->
				<header>
					<span class="widget-icon"> <i class="fa fa-edit"></i> </span>
					<h2>Review form </h2>				
					
				</header>

				<!-- widget div-->
				<div>
					
					<!-- widget edit box -->
					<div class="jarviswidget-editbox">
						<!-- This area used as dropdown edit box -->
						
					</div>
					<!-- end widget edit box -->
					
					<!-- widget content -->
					<div class="widget-body no-padding">
						
						<form action="" id="review-form" class="smart-form">
							<header>
								Review form
							</header>

							<fieldset>
								<section>
									<label class="input"> <i class="icon-append fa fa-user"></i>
										<input type="text" name="name" id="name" placeholder="Your name">
									</label>
								</section>

								<section>
									<label class="input"> <i class="icon-append fa fa-envelope-o"></i>
										<input type="email" name="email" id="email" placeholder="Your e-mail">
									</label>
								</section>

								<section>
									<label class="label"></label>
									<label class="textarea"> <i class="icon-append fa fa-comment"></i> 										
										<textarea rows="3" name="review" id="review" placeholder="Text of the review"></textarea> 
									</label>
								</section>

								<section>
									<div class="rating">
										<input type="radio" name="quality" id="quality-5">
										<label for="quality-5"><i class="fa fa-star"></i></label>
										<input type="radio" name="quality" id="quality-4">
										<label for="quality-4"><i class="fa fa-star"></i></label>
										<input type="radio" name="quality" id="quality-3">
										<label for="quality-3"><i class="fa fa-star"></i></label>
										<input type="radio" name="quality" id="quality-2">
										<label for="quality-2"><i class="fa fa-star"></i></label>
										<input type="radio" name="quality" id="quality-1">
										<label for="quality-1"><i class="fa fa-star"></i></label>
										Quality of the product
									</div>

									<div class="rating">
										<input type="radio" name="reliability" id="reliability-5">
										<label for="reliability-5"><i class="fa fa-star"></i></label>
										<input type="radio" name="reliability" id="reliability-4">
										<label for="reliability-4"><i class="fa fa-star"></i></label>
										<input type="radio" name="reliability" id="reliability-3">
										<label for="reliability-3"><i class="fa fa-star"></i></label>
										<input type="radio" name="reliability" id="reliability-2">
										<label for="reliability-2"><i class="fa fa-star"></i></label>
										<input type="radio" name="reliability" id="reliability-1">
										<label for="reliability-1"><i class="fa fa-star"></i></label>
										Reliability of the product
									</div>

									<div class="rating">
										<input type="radio" name="overall" id="overall-5">
										<label for="overall-5"><i class="fa fa-star"></i></label>
										<input type="radio" name="overall" id="overall-4">
										<label for="overall-4"><i class="fa fa-star"></i></label>
										<input type="radio" name="overall" id="overall-3">
										<label for="overall-3"><i class="fa fa-star"></i></label>
										<input type="radio" name="overall" id="overall-2">
										<label for="overall-2"><i class="fa fa-star"></i></label>
										<input type="radio" name="overall" id="overall-1">
										<label for="overall-1"><i class="fa fa-star"></i></label>
										Overall rating
									</div>
								</section>
							</fieldset>
							<footer>
								<button type="submit" class="btn btn-primary">
									Validate Form
								</button>
							</footer>
						</form>						
						
					</div>
					<!-- end widget content -->
					
				</div>
				<!-- end widget div -->
				
			</div>
			<!-- end widget -->	

		</article>
		<!-- END COL -->

		<!-- NEW COL START -->
		<article class="col-sm-12 col-md-12 col-lg-6">
			
			<!-- Widget ID (each widget will need unique ID)-->
			<div class="jarviswidget" id="wid-id-4" data-widget-editbutton="false" data-widget-custombutton="false">
				<!-- widget options:
					usage: <div class="jarviswidget" id="wid-id-0" data-widget-editbutton="false">
					
					data-widget-colorbutton="false"	
					data-widget-editbutton="false"
					data-widget-togglebutton="false"
					data-widget-deletebutton="false"
					data-widget-fullscreenbutton="false"
					data-widget-custombutton="false"
					data-widget-collapsed="true" 
					data-widget-sortable="false"
					
				-->
				<header>
					<span class="widget-icon"> <i class="fa fa-edit"></i> </span>
					<h2>Registration form </h2>				
					
				</header>

				<!-- widget div-->
				<div>
					
					<!-- widget edit box -->
					<div class="jarviswidget-editbox">
						<!-- This area used as dropdown edit box -->
						
					</div>
					<!-- end widget edit box -->
					
					<!-- widget content -->
					<div class="widget-body no-padding">
						
						<form action="" id="smart-form-register" class="smart-form">
							<header>
								Registration form
							</header>

							<fieldset>
								<section>
									<label class="input"> <i class="icon-append fa fa-user"></i>
										<input type="text" name="username" placeholder="Username">
										<b class="tooltip tooltip-bottom-right">Needed to enter the website</b> </label>
								</section>
								
								
								
								<section>
									<label class="input"> <i class="icon-append fa fa-envelope-o"></i>
										<input type="email" name="email" placeholder="Email address">
										<b class="tooltip tooltip-bottom-right">Needed to verify your account</b> </label>
								</section>

								<section>
									<label class="input"> <i class="icon-append fa fa-lock"></i>
										<input type="password" name="password" placeholder="Password" id="password">
										<b class="tooltip tooltip-bottom-right">Don't forget your password</b> </label>
								</section>

								<section>
									<label class="input"> <i class="icon-append fa fa-lock"></i>
										<input type="password" name="passwordConfirm" placeholder="Confirm password">
										<b class="tooltip tooltip-bottom-right">Don't forget your password</b> </label>
								</section>
							</fieldset>

							<fieldset>
								<div class="row">
									<section class="col col-6">
										<label class="input">
											<input type="text" name="firstname" placeholder="First name">
										</label>
									</section>
									<section class="col col-6">
										<label class="input">
											<input type="text" name="lastname" placeholder="Last name">
										</label>
									</section>
								</div>
								
								<div class="row">
									<section class="col col-6">
										<label class="select">
											<select name="gender">
												<option value="0" selected="" disabled="">Gender</option>
												<option value="1">Male</option>
												<option value="2">Female</option>
												<option value="3">Prefer not to answer</option>
											</select> <i></i> </label>
									</section>
									<section class="col col-6">
										<label class="input"> <i class="icon-append fa fa-calendar"></i>
											<input type="text" name="request" placeholder="Request activation on" class="datepicker" data-dateformat='dd/mm/yy'>
										</label>
									</section>
								</div>	

								<section>
									<label class="checkbox">
										<input type="checkbox" name="subscription" id="subscription">
										<i></i>I want to receive news and special offers</label>
									<label class="checkbox">
										<input type="checkbox" name="terms" id="terms">
										<i></i>I agree with the Terms and Conditions</label>
								</section>
							</fieldset>
							<footer>
								<button type="submit" class="btn btn-primary">
									Validate Form
								</button>
							</footer>
						</form>						
						
					</div>
					<!-- end widget content -->
					
				</div>
				<!-- end widget div -->
				
			</div>
			<!-- end widget -->
			
			<!-- Widget ID (each widget will need unique ID)-->
			<div class="jarviswidget" id="wid-id-6" data-widget-editbutton="false" data-widget-custombutton="false">
				<!-- widget options:
					usage: <div class="jarviswidget" id="wid-id-0" data-widget-editbutton="false">
					
					data-widget-colorbutton="false"	
					data-widget-editbutton="false"
					data-widget-togglebutton="false"
					data-widget-deletebutton="false"
					data-widget-fullscreenbutton="false"
					data-widget-custombutton="false"
					data-widget-collapsed="true" 
					data-widget-sortable="false"
					
				-->
				<header>
					<span class="widget-icon"> <i class="fa fa-edit"></i> </span>
					<h2>Comment form </h2>				
					
				</header>

				<!-- widget div-->
				<div>
					
					<!-- widget edit box -->
					<div class="jarviswidget-editbox">
						<!-- This area used as dropdown edit box -->
						
					</div>
					<!-- end widget edit box -->
					
					<!-- widget content -->
					<div class="widget-body no-padding">
						
						<form action="php/demo-comment.php" method="post" id="comment-form" class="smart-form">
							<header>
								Comment form
							</header>

							<fieldset>
								<div class="row">
									<section class="col col-4">
										<label class="label">Name</label>
										<label class="input"> <i class="icon-append fa fa-user"></i>
											<input type="text" name="name">
										</label>
									</section>
									<section class="col col-4">
										<label class="label">E-mail</label>
										<label class="input"> <i class="icon-append fa fa-envelope-o"></i>
											<input type="email" name="email">
										</label>
									</section>
									<section class="col col-4">
										<label class="label">Website</label>
										<label class="input"> <i class="icon-append fa fa-globe"></i>
											<input type="url" name="url">
										</label>
									</section>
								</div>

								<section>
									<label class="label">Comment</label>
									<label class="textarea"> <i class="icon-append fa fa-comment"></i> 										<textarea rows="4" name="comment"></textarea> </label>
									<div class="note">
										You may use these HTML tags and attributes: &lt;a href="" title=""&gt;, &lt;abbr title=""&gt;, &lt;acronym title=""&gt;, &lt;b&gt;, &lt;blockquote cite=""&gt;, &lt;cite&gt;, &lt;code&gt;, &lt;del datetime=""&gt;, &lt;em&gt;, &lt;i&gt;, &lt;q cite=""&gt;, &lt;strike&gt;, &lt;strong&gt;.
									</div>
								</section>
							</fieldset>

							<footer>
								<button type="submit" name="submit" class="btn btn-primary">
									Validate Form
								</button>
							</footer>

							<div class="message">
								<i class="fa fa-check fa-lg"></i>
								<p>
									Your comment was successfully added!
								</p>
							</div>
						</form>
						
					</div>
					<!-- end widget content -->
					
				</div>
				<!-- end widget div -->
				
			</div>
			<!-- end widget -->
				
			
			<!-- Widget ID (each widget will need unique ID)-->
			<div class="jarviswidget" id="wid-id-8" data-widget-editbutton="false" data-widget-custombutton="false">
				<!-- widget options:
					usage: <div class="jarviswidget" id="wid-id-0" data-widget-editbutton="false">
					
					data-widget-colorbutton="false"	
					data-widget-editbutton="false"
					data-widget-togglebutton="false"
					data-widget-deletebutton="false"
					data-widget-fullscreenbutton="false"
					data-widget-custombutton="false"
					data-widget-collapsed="true" 
					data-widget-sortable="false"
					
				-->
				<header>
					<span class="widget-icon"> <i class="fa fa-edit"></i> </span>
					<h2>Contacts form </h2>				
					
				</header>

				<!-- widget div-->
				<div>
					
					<!-- widget edit box -->
					<div class="jarviswidget-editbox">
						<!-- This area used as dropdown edit box -->
						
					</div>
					<!-- end widget edit box -->
					
					<!-- widget content -->
					<div class="widget-body no-padding">
						
						<form action="demo-contacts.php" method="post" id="contact-form" class="smart-form">
							<header>Contacts form</header>
							
							<fieldset>					
								<div class="row">
									<section class="col col-6">
										<label class="label">Name</label>
										<label class="input">
											<i class="icon-append fa fa-user"></i>
											<input type="text" name="name" id="name">
										</label>
									</section>
									<section class="col col-6">
										<label class="label">E-mail</label>
										<label class="input">
											<i class="icon-append fa fa-envelope-o"></i>
											<input type="email" name="email" id="email">
										</label>
									</section>
								</div>
								
								<section>
									<label class="label">Subject</label>
									<label class="input">
										<i class="icon-append fa fa-tag"></i>
										<input type="text" name="subject" id="subject">
									</label>
								</section>
								
								<section>
									<label class="label">Message</label>
									<label class="textarea">
										<i class="icon-append fa fa-comment"></i>
										<textarea rows="4" name="message" id="message"></textarea>
									</label>
								</section>
								
								<section>
									<label class="checkbox"><input type="checkbox" name="copy" id="copy"><i></i>Send a copy to my e-mail address</label>
								</section>
							</fieldset>
							
							<footer>
								<button type="submit" class="btn btn-primary">Validate Form</button>
							</footer>
							
							<div class="message">
								<i class="fa fa-thumbs-up"></i>
								<p>Your message was successfully sent!</p>
							</div>
						</form>						
						
					</div>
					<!-- end widget content -->
					
				</div>
				<!-- end widget div -->
				
			</div>
			<!-- end widget -->								


		</article>
		<!-- END COL -->		

	</div>

	<!-- END ROW -->

</section>
<!-- end widget grid -->

		
<!-- SCRIPTS ON PAGE EVENT -->
<script type="text/javascript">
	
	/* DO NOT REMOVE : GLOBAL FUNCTIONS!
	 *
	 * pageSetUp(); WILL CALL THE FOLLOWING FUNCTIONS
	 *
	 * // activate tooltips
	 * $("[rel=tooltip]").tooltip();
	 *
	 * // activate popovers
	 * $("[rel=popover]").popover();
	 *
	 * // activate popovers with hover states
	 * $("[rel=popover-hover]").popover({ trigger: "hover" });
	 *
	 * // activate inline charts
	 * runAllCharts();
	 *
	 * // setup widgets
	 * setup_widgets_desktop();
	 *
	 * // run form elements
	 * runAllForms();
	 *
	 ********************************
	 *
	 * pageSetUp() is needed whenever you load a page.
	 * It initializes and checks for all basic elements of the page
	 * and makes rendering easier.
	 *
	 */

	pageSetUp();
	
	
	// PAGE RELATED SCRIPTS

	// pagefunction
	
	var pagefunction = function() {

		var $checkoutForm = $('#checkout-form').validate({
		// Rules for form validation
			rules : {
				fname : {
					required : true
				},
				lname : {
					required : true
				},
				email : {
					required : true,
					email : true
				},
				phone : {
					required : true
				},
				country : {
					required : true
				},
				city : {
					required : true
				},
				code : {
					required : true,
					digits : true
				},
				address : {
					required : true
				},
				name : {
					required : true
				},
				card : {
					required : true,
					creditcard : true
				},
				cvv : {
					required : true,
					digits : true
				},
				month : {
					required : true
				},
				year : {
					required : true,
					digits : true
				}
			},
	
			// Messages for form validation
			messages : {
				fname : {
					required : 'Please enter your first name'
				},
				lname : {
					required : 'Please enter your last name'
				},
				email : {
					required : 'Please enter your email address',
					email : 'Please enter a VALID email address'
				},
				phone : {
					required : 'Please enter your phone number'
				},
				country : {
					required : 'Please select your country'
				},
				city : {
					required : 'Please enter your city'
				},
				code : {
					required : 'Please enter code',
					digits : 'Digits only please'
				},
				address : {
					required : 'Please enter your full address'
				},
				name : {
					required : 'Please enter name on your card'
				},
				card : {
					required : 'Please enter your card number'
				},
				cvv : {
					required : 'Enter CVV2',
					digits : 'Digits only'
				},
				month : {
					required : 'Select month'
				},
				year : {
					required : 'Enter year',
					digits : 'Digits only please'
				}
			},
	
			// Do not change code below
			errorPlacement : function(error, element) {
				error.insertAfter(element.parent());
			}
		});
				
		var $registerForm = $("#smart-form-register").validate({

			// Rules for form validation
			rules : {
				username : {
					required : true
				},
				email : {
					required : true,
					email : true
				},
				password : {
					required : true,
					minlength : 3,
					maxlength : 20
				},
				passwordConfirm : {
					required : true,
					minlength : 3,
					maxlength : 20,
					equalTo : '#password'
				},
				firstname : {
					required : true
				},
				lastname : {
					required : true
				},
				gender : {
					required : true
				},
				terms : {
					required : true
				}
			},

			// Messages for form validation
			messages : {
				login : {
					required : 'Please enter your login'
				},
				email : {
					required : 'Please enter your email address',
					email : 'Please enter a VALID email address'
				},
				password : {
					required : 'Please enter your password'
				},
				passwordConfirm : {
					required : 'Please enter your password one more time',
					equalTo : 'Please enter the same password as above'
				},
				firstname : {
					required : 'Please select your first name'
				},
				lastname : {
					required : 'Please select your last name'
				},
				gender : {
					required : 'Please select your gender'
				},
				terms : {
					required : 'You must agree with Terms and Conditions'
				}
			},

			// Do not change code below
			errorPlacement : function(error, element) {
				error.insertAfter(element.parent());
			}
		});

		var $reviewForm = $("#review-form").validate({
			// Rules for form validation
			rules : {
				name : {
					required : true
				},
				email : {
					required : true,
					email : true
				},
				review : {
					required : true,
					minlength : 20
				},
				quality : {
					required : true
				},
				reliability : {
					required : true
				},
				overall : {
					required : true
				}
			},

			// Messages for form validation
			messages : {
				name : {
					required : 'Please enter your name'
				},
				email : {
					required : 'Please enter your email address',
					email : '<i class="fa fa-warning"></i><strong>Please enter a VALID email addres</strong>'
				},
				review : {
					required : 'Please enter your review'
				},
				quality : {
					required : 'Please rate quality of the product'
				},
				reliability : {
					required : 'Please rate reliability of the product'
				},
				overall : {
					required : 'Please rate the product'
				}
			},

			// Do not change code below
			errorPlacement : function(error, element) {
				error.insertAfter(element.parent());
			}
		});
		
		var $commentForm = $("#comment-form").validate({
			// Rules for form validation
			rules : {
				name : {
					required : true
				},
				email : {
					required : true,
					email : true
				},
				url : {
					url : true
				},
				comment : {
					required : true
				}
			},

			// Messages for form validation
			messages : {
				name : {
					required : 'Enter your name',
				},
				email : {
					required : 'Enter your email address',
					email : 'Enter a VALID email'
				},
				url : {
					email : 'Enter a VALID url'
				},
				comment : {
					required : 'Please enter your comment'
				}
			},

			// Ajax form submition
			submitHandler : function(form) {
				$(form).ajaxSubmit({
					success : function() {
						$("#comment-form").addClass('submited');
					}
				});
			},

			// Do not change code below
			errorPlacement : function(error, element) {
				error.insertAfter(element.parent());
			}
		});

		var $contactForm = $("#contact-form").validate({
			// Rules for form validation
			rules : {
				name : {
					required : true
				},
				email : {
					required : true,
					email : true
				},
				message : {
					required : true,
					minlength : 10
				}
			},

			// Messages for form validation
			messages : {
				name : {
					required : 'Please enter your name',
				},
				email : {
					required : 'Please enter your email address',
					email : 'Please enter a VALID email address'
				},
				message : {
					required : 'Please enter your message'
				}
			},

			// Ajax form submition
			submitHandler : function(form) {
				$(form).ajaxSubmit({
					success : function() {
						$("#contact-form").addClass('submited');
					}
				});
			},

			// Do not change code below
			errorPlacement : function(error, element) {
				error.insertAfter(element.parent());
			}
		});

		var $orderForm = $("#order-form").validate({
			// Rules for form validation
			rules : {
				name : {
					required : true
				},
				email : {
					required : true,
					email : true
				},
				phone : {
					required : true
				},
				interested : {
					required : true
				},
				budget : {
					required : true
				}
			},

			// Messages for form validation
			messages : {
				name : {
					required : 'Please enter your name'
				},
				email : {
					required : 'Please enter your email address',
					email : 'Please enter a VALID email address'
				},
				phone : {
					required : 'Please enter your phone number'
				},
				interested : {
					required : 'Please select interested service'
				},
				budget : {
					required : 'Please select your budget'
				}
			},

			// Do not change code below
			errorPlacement : function(error, element) {
				error.insertAfter(element.parent());
			}
		});

		// START AND FINISH DATE
		$('#startdate').datepicker({
			dateFormat : 'dd.mm.yy',
			prevText : '<i class="fa fa-chevron-left"></i>',
			nextText : '<i class="fa fa-chevron-right"></i>',
			onSelect : function(selectedDate) {
				$('#finishdate').datepicker('option', 'minDate', selectedDate);
			}
		});
		
		$('#finishdate').datepicker({
			dateFormat : 'dd.mm.yy',
			prevText : '<i class="fa fa-chevron-left"></i>',
			nextText : '<i class="fa fa-chevron-right"></i>',
			onSelect : function(selectedDate) {
				$('#startdate').datepicker('option', 'maxDate', selectedDate);
			}
		});
		
	};
	
	// end pagefunction
	
	// Load form valisation dependency 
	loadScript("js/plugin/jquery-form/jquery-form.min.js", pagefunction);

</script>

Zerion Mini Shell 1.0