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Mini Shell

Mini Shell

Direktori : /home1/dimen328/libertysa.com.br/admin/modules/parceiros/
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Current File : //home1/dimen328/libertysa.com.br/admin/modules/parceiros/CadForm.php

<script src="modules/parceiros/CadFormJS.js"></script>

<script src="media/js/ajaxuploader.js"></script>
<form id="form" name="form">
	<div class="col-lg-6">
		<input type="hidden" id="nameFoto" name="nameFoto" >
		
		<div class="form-group has-feedback">	
			<label for="nome" >Nome</label>
			<input type="text" id="nome" name="nome" class="form-control requiredField">
		</div>
		
		<div class="form-group has-feedback">	
			<label for="telefone" >Telefone</label>
			<input type="text" id="telefone" name="telefone" class="form-control requiredField">
		</div>
		
		<div class="form-group has-feedback">	
			<label for="email" >E-mail</label>
			<input type="text" id="email" name="email" class="form-control ">
		</div>
		
		<div class="form-group has-feedback">
			<label for="link" >Link</label>
			<input type="text" id="link" name="link" class="form-control ">
		</div>

		<div class="form-group has-feedback">	
			<label for="descricao" >Descrição</label>
			<textarea id="descricao" name="descricao" class="form-control"></textarea>
		</div>
		
		<div id="edit-container" name="edit-container"></div>
		<div class="form-group has-feedback">
			<label for="texto">Imagem</label>
			<div class="fora well">
				<div class="img_class">
					<div class="upload fs-upload-element fs-upload "></div>
				</div>
			</div>
			
		</div>
		
		<div class="form-group">
			<label>Status</label>
			<select id="status" name="status" class="form-control">
				<option value="1">Ativo</option>
				<option value="2">Inativo</option>
			</select>
		</div>

		<div class="form-group">
			<div class="pull-right">
				<button type="button" id="btnvoltar" name="btnvoltar" class="btn btn-danger">Voltar</button>
				<button type="button" id="btninserir" name="btninserir" class="btn btn-info">Enviar</button>
			</div>
		</div>
	</div>
</form>

Zerion Mini Shell 1.0