
<!-- Dashboard content -->
<div class="row">

    <div class="col-lg-8"> 
        <!-- Form horizontal -->
        <div class="panel panel-flat">
            <!-- div class="panel-heading">
                <h5 class="panel-title">Add New Transporter</h5>
            </div -->

            <div class="panel-body">              
                <form class="form-horizontal" action="/transp/addnew" method='POST'>
                    <fieldset class="content-group">
                        <legend class="text-bold">Add New Transporter</legend>
                        <div class="form-group">
                            <label class="control-label col-lg-2">Created by</label>
                            <div class="col-lg-10">
                                <input type="text" class="form-control" readonly="readonly" value='Web Admin'>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="control-label col-lg-2">Transporter</label>
                            <div class="col-lg-10">
                                <input type="text" class="form-control" name='transporter' value='<?= $transporter ?>'>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="control-label col-lg-2">Contact Name</label>
                            <div class="col-lg-5">
                                <input type="text" class="form-control" name='firstname' placeholder='Firstname' value='<?= $firstname ?>'>
                            </div>
                            <div class="col-lg-5">
                                <input type="text" class="form-control" name='lastname' placeholder='Lastname'value='<?= $lastname ?>'>
                            </div>                            
                        </div>
                        <div class="form-group">
                            <label class="control-label col-lg-2">Email/Username</label>
                            <div class="col-lg-6">
                                <input type="text" class="form-control" name='username' placeholder='Email as Username' value='<?= $username ?>'>
                            </div>
                            <div class="col-lg-4">
                                <input type="password" class="form-control" name='password' placeholder='Password'>
                            </div>                            
                        </div>                      
                        <legend class="text-bold">Address</legend>
                        <div class="form-group">
                            <label class="control-label col-lg-2">Address</label>

                            <div class="col-lg-10">
                                <input type="text" class="form-control"  name="street" placeholder='Street Address' value='<?= $street ?>'>
                            </div>                          
                        </div>
                        <div class="form-group">
                            <label class="control-label col-lg-2">Zip Code/Phone</label>
                            <div class="col-lg-5">
                                <input type="text" class="form-control" name="zipcode" placeholder='Zip code' value='<?= $zipcode ?>'>
                            </div>
                            <div class="col-lg-5">
                                <input type="text" class="form-control" name="phone" placeholder='Phone' value='<?= $phone ?>'>
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="control-label col-lg-2">City/State</label>
                            <div class="col-lg-6">
                                <input type="text" class="form-control" name="city" value='<?= $city ?>' placeholder='City'>
                            </div>

                            <div class="col-lg-4">
                                <select name="state" class="form-control">
                                    <option value="GA">Georgia</option>                                                                 
                                </select>
                            </div>
                        </div>
                    </fieldset>
                    <div class="text-right">
                        <button type="submit" class="btn btn-primary">Next <i class="icon-arrow-right14 position-right"></i></button>
                    </div>
                </form>
            </div>
        </div>

        <!-- /form horizontal -->
    </div>

    <div class="col-lg-4">
     <? include 'recent_transporter_side_list.php'; ?>
    </div>
</div>
<!-- /dashboard content -->

