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<div class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button>
<h4 class="modal-title">{$_L['Add Custom Field']}</h4>
</div>
<div class="modal-body">
<div class="row">
<div class="col-md-12">
<form role="form" name="add_form" id="add_form" method="post" action="{$_url}settings/customfields-post">
<div class="form-group">
<label for="fieldname">{$_L['Field Name']}</label>
<input type="text" class="form-control" id="fieldname" name="fieldname">
</div>
<div class="form-group">
<label for="fieldtype">{$_L['Field Type']}</label>
<select class="form-control" name="fieldtype" id="fieldtype">
<option value="text" selected="">{$_L['Text Box']}</option>
<option value="password">{$_L['Password']}</option>
<option value="dropdown">{$_L['Drop Down']}</option>
<option value="textarea">{$_L['Text Area']}</option>
</select>
</div>
<div class="form-group">
<label for="description">{$_L['Description']}</label>
<input type="text" class="form-control" id="description" name="description">
<span class="help-block">{$_L['Optional Description help']}</span>
</div>
<div class="form-group">
<label for="validation">{$_L['Validation']}</label>
<input type="text" class="form-control" id="validation" name="validation">
<span class="help-block">{$_L['Regular Expression Validation']}</span>
</div>
<div class="form-group">
<label for="options">{$_L['Select Options']}</label>
<input type="text" class="form-control" id="options" name="options">
<span class="help-block">{$_L['Comma Separated List']}</span>
</div>
<div class="form-group">
<label for="options">{$_L['Show in View Invoice']}</label>
<div class="radio">
<label>
<input type="radio" name="showinvoice" id="showInvoiceYes" value="Yes">
{$_L['Yes']}
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="showinvoice" id="showInvoiceNo" value="No" checked>
{$_L['No']}
</label>
</div>
</div>
</form>
</div>
</div>
</div>
<div class="modal-footer">
<button type="button" class="btn btn-primary" id="add_submit"><i class="fa fa-check"></i> {$_L['Submit']}</button>
</div>