ppeasy/public/others/forms-wizard.html

707 lines
53 KiB
HTML

<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8" />
<title>Crovex - Admin & Dashboard Template</title>
<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
<meta content="Premium Multipurpose Admin & Dashboard Template" name="description" />
<meta content="" name="author" />
<meta http-equiv="X-UA-Compatible" content="IE=edge" />
<!-- App favicon -->
<link rel="shortcut icon" href="../assets/images/favicon.ico">
<!--Form Wizard-->
<link rel="stylesheet" href="../../plugins/jquery-steps/jquery.steps.css">
<!-- App css -->
<link href="../assets/css/bootstrap.min.css" rel="stylesheet" type="text/css" />
<link href="../assets/css/jquery-ui.min.css" rel="stylesheet">
<link href="../assets/css/icons.min.css" rel="stylesheet" type="text/css" />
<link href="../assets/css/metisMenu.min.css" rel="stylesheet" type="text/css" />
<link href="../assets/css/app.min.css" rel="stylesheet" type="text/css" />
</head>
<body>
<!-- Top Bar Start -->
<div class="topbar">
<!-- LOGO -->
<div class="topbar-left">
<a href="../dashboard/crm-index.html" class="logo">
<span>
<img src="../assets/images/logo-sm.png" alt="logo-small" class="logo-sm">
</span>
<span>
<img src="../assets/images/logo.png" alt="logo-large" class="logo-lg logo-light">
<img src="../assets/images/logo-dark.png" alt="logo-large" class="logo-lg">
</span>
</a>
</div>
<!--end logo-->
<!-- Navbar -->
<nav class="navbar-custom">
<ul class="list-unstyled topbar-nav float-right mb-0">
<li class="hidden-sm">
<a class="nav-link dropdown-toggle waves-effect waves-light" data-toggle="dropdown" href="javascript: void(0);" role="button"
aria-haspopup="false" aria-expanded="false">
English <img src="../assets/images/flags/us_flag.jpg" class="ml-2" height="16" alt=""/> <i class="mdi mdi-chevron-down"></i>
</a>
<div class="dropdown-menu dropdown-menu-right">
<a class="dropdown-item" href="javascript: void(0);"><span> German </span><img src="../assets/images/flags/germany_flag.jpg" alt="" class="ml-2 float-right" height="14"/></a>
<a class="dropdown-item" href="javascript: void(0);"><span> Italian </span><img src="../assets/images/flags/italy_flag.jpg" alt="" class="ml-2 float-right" height="14"/></a>
<a class="dropdown-item" href="javascript: void(0);"><span> French </span><img src="../assets/images/flags/french_flag.jpg" alt="" class="ml-2 float-right" height="14"/></a>
<a class="dropdown-item" href="javascript: void(0);"><span> Spanish </span><img src="../assets/images/flags/spain_flag.jpg" alt="" class="ml-2 float-right" height="14"/></a>
<a class="dropdown-item" href="javascript: void(0);"><span> Russian </span><img src="../assets/images/flags/russia_flag.jpg" alt="" class="ml-2 float-right" height="14"/></a>
</div>
</li>
<li class="dropdown notification-list">
<a class="nav-link dropdown-toggle arrow-none waves-light waves-effect" data-toggle="dropdown" href="#" role="button"
aria-haspopup="false" aria-expanded="false">
<i class="ti-bell noti-icon"></i>
<span class="badge badge-danger badge-pill noti-icon-badge">2</span>
</a>
<div class="dropdown-menu dropdown-menu-right dropdown-lg pt-0">
<h6 class="dropdown-item-text font-15 m-0 py-3 bg-primary text-white d-flex justify-content-between align-items-center">
Notifications <span class="badge badge-light badge-pill">2</span>
</h6>
<div class="slimscroll notification-list">
<!-- item-->
<a href="#" class="dropdown-item py-3">
<small class="float-right text-muted pl-2">2 min ago</small>
<div class="media">
<div class="avatar-md bg-primary">
<i class="la la-cart-arrow-down text-white"></i>
</div>
<div class="media-body align-self-center ml-2 text-truncate">
<h6 class="my-0 font-weight-normal text-dark">Your order is placed</h6>
<small class="text-muted mb-0">Dummy text of the printing and industry.</small>
</div><!--end media-body-->
</div><!--end media-->
</a><!--end-item-->
<!-- item-->
<a href="#" class="dropdown-item py-3">
<small class="float-right text-muted pl-2">10 min ago</small>
<div class="media">
<div class="avatar-md bg-success">
<i class="la la-group text-white"></i>
</div>
<div class="media-body align-self-center ml-2 text-truncate">
<h6 class="my-0 font-weight-normal text-dark">Meeting with designers</h6>
<small class="text-muted mb-0">It is a long established fact that a reader.</small>
</div><!--end media-body-->
</div><!--end media-->
</a><!--end-item-->
<!-- item-->
<a href="#" class="dropdown-item py-3">
<small class="float-right text-muted pl-2">40 min ago</small>
<div class="media">
<div class="avatar-md bg-pink">
<i class="la la-list-alt text-white"></i>
</div>
<div class="media-body align-self-center ml-2 text-truncate">
<h6 class="my-0 font-weight-normal text-dark">UX 3 Task complete.</h6>
<small class="text-muted mb-0">Dummy text of the printing.</small>
</div><!--end media-body-->
</div><!--end media-->
</a><!--end-item-->
<!-- item-->
<a href="#" class="dropdown-item py-3">
<small class="float-right text-muted pl-2">1 hr ago</small>
<div class="media">
<div class="avatar-md bg-warning">
<i class="la la-truck text-white"></i>
</div>
<div class="media-body align-self-center ml-2 text-truncate">
<h6 class="my-0 font-weight-normal text-dark">Your order is placed</h6>
<small class="text-muted mb-0">It is a long established fact that a reader.</small>
</div><!--end media-body-->
</div><!--end media-->
</a><!--end-item-->
<!-- item-->
<a href="#" class="dropdown-item py-3">
<small class="float-right text-muted pl-2">2 hrs ago</small>
<div class="media">
<div class="avatar-md bg-info">
<i class="la la-check-circle text-white"></i>
</div>
<div class="media-body align-self-center ml-2 text-truncate">
<h6 class="my-0 font-weight-normal text-dark">Payment Successfull</h6>
<small class="text-muted mb-0">Dummy text of the printing.</small>
</div><!--end media-body-->
</div><!--end media-->
</a><!--end-item-->
</div>
<!-- All-->
<a href="javascript:void(0);" class="dropdown-item text-center text-primary">
View all <i class="fi-arrow-right"></i>
</a>
</div>
</li>
<li class="dropdown">
<a class="nav-link dropdown-toggle waves-effect waves-light nav-user" data-toggle="dropdown" href="#" role="button"
aria-haspopup="false" aria-expanded="false">
<img src="../assets/images/users/user-1.png" alt="profile-user" class="rounded-circle" />
<span class="ml-1 nav-user-name hidden-sm">Amelia <i class="mdi mdi-chevron-down"></i> </span>
</a>
<div class="dropdown-menu dropdown-menu-right">
<a class="dropdown-item" href="#"><i class="ti-user text-muted mr-2"></i> Profile</a>
<a class="dropdown-item" href="#"><i class="ti-wallet text-muted mr-2"></i> My Wallet</a>
<a class="dropdown-item" href="#"><i class="ti-settings text-muted mr-2"></i> Settings</a>
<a class="dropdown-item" href="#"><i class="ti-lock text-muted mr-2"></i> Lock screen</a>
<div class="dropdown-divider mb-0"></div>
<a class="dropdown-item" href="#"><i class="ti-power-off text-muted mr-2"></i> Logout</a>
</div>
</li>
</ul><!--end topbar-nav-->
<ul class="list-unstyled topbar-nav mb-0">
<li>
<button class="nav-link button-menu-mobile waves-effect waves-light">
<i class="ti-menu nav-icon"></i>
</button>
</li>
<li class="hide-phone app-search">
<form role="search" class="">
<input type="text" id="AllCompo" placeholder="Search..." class="form-control">
<a href=""><i class="fas fa-search"></i></a>
</form>
</li>
</ul>
</nav>
<!-- end navbar-->
</div>
<!-- Top Bar End -->
<!-- Left Sidenav -->
<div class="left-sidenav">
<ul class="metismenu left-sidenav-menu">
<li>
<a href="javascript: void(0);"><i class="ti-bar-chart"></i><span>Dashboard</span><span class="menu-arrow"><i class="mdi mdi-chevron-right"></i></span></a>
<ul class="nav-second-level" aria-expanded="false">
<li class="nav-item"><a class="nav-link" href="../dashboard/analytics-index.html"><i class="ti-control-record"></i>Analytics</a></li>
<li class="nav-item"><a class="nav-link" href="../dashboard/crm-index.html"><i class="ti-control-record"></i>CRM</a></li>
<li class="nav-item"><a class="nav-link" href="../dashboard/helpdesk-index.html"><i class="ti-control-record"></i>Helpdesk</a></li>
<li class="nav-item"><a class="nav-link" href="../dashboard/sales-index.html"><i class="ti-control-record"></i>Sales</a></li>
</ul>
</li>
<li>
<a href="javascript: void(0);"><i class="ti-server"></i><span>Apps</span><span class="menu-arrow"><i class="mdi mdi-chevron-right"></i></span></a>
<ul class="nav-second-level" aria-expanded="false">
<li>
<a href="javascript: void(0);"><i class="ti-control-record"></i>Email <span class="menu-arrow left-has-menu"><i class="mdi mdi-chevron-right"></i></span></a>
<ul class="nav-second-level" aria-expanded="false">
<li><a href="../apps/email-inbox.html">Inbox</a></li>
<li><a href="../apps/email-read.html">Read Email</a></li>
</ul>
</li>
<li class="nav-item"><a class="nav-link" href="../apps/chat.html"><i class="ti-control-record"></i>Chat</a></li>
<li class="nav-item"><a class="nav-link" href="../apps/contact-list.html"><i class="ti-control-record"></i>Contact List</a></li>
<li class="nav-item"><a class="nav-link" href="../apps/calendar.html"><i class="ti-control-record"></i>Calendar</a></li>
<li class="nav-item"><a class="nav-link" href="../apps/invoice.html"><i class="ti-control-record"></i>Invoice</a></li>
<li class="nav-item"><a class="nav-link" href="../apps/tasks.html"><i class="ti-control-record"></i>Tasks</a></li>
<li>
<a href="javascript: void(0);"><i class="ti-control-record"></i>Projects <span class="menu-arrow left-has-menu"><i class="mdi mdi-chevron-right"></i></span></a>
<ul class="nav-second-level" aria-expanded="false">
<li><a href="../apps/project-overview.html">Overview</a></li>
<li><a href="../apps/project-projects.html">Projects</a></li>
<li><a href="../apps/project-board.html">Board</a></li>
<li><a href="../apps/project-teams.html">Teams</a></li>
<li><a href="../apps/project-files.html">Files</a></li>
<li><a href="../apps/new-project.html">New Project</a></li>
</ul>
</li>
<li>
<a href="javascript: void(0);"><i class="ti-control-record"></i>Ecommerce <span class="menu-arrow left-has-menu"><i class="mdi mdi-chevron-right"></i></span></a>
<ul class="nav-second-level" aria-expanded="false">
<li><a href="../apps/ecommerce-products.html">Products</a></li>
<li><a href="../apps/ecommerce-product-list.html">Product List</a></li>
<li><a href="../apps/ecommerce-product-detail.html">Product Detail</a></li>
<li><a href="../apps/ecommerce-cart.html">Cart</a></li>
<li><a href="../apps/ecommerce-checkout.html">Checkout</a></li>
</ul>
</li>
</ul>
</li>
<li>
<a href="javascript: void(0);"><i class="ti-crown"></i><span>UI Kit</span><span class="menu-arrow"><i class="mdi mdi-chevron-right"></i></span></a>
<ul class="nav-second-level" aria-expanded="false">
<li>
<a href="javascript: void(0);"><i class="ti-control-record"></i>Elements <span class="menu-arrow left-has-menu"><i class="mdi mdi-chevron-right"></i></span></a>
<ul class="nav-second-level" aria-expanded="false">
<li><a href="../others/ui-bootstrap.html">Bootstrap</a></li>
<li><a href="../others/ui-animation.html">Animation</a></li>
<li><a href="../others/ui-avatar.html">Avatar</a></li>
<li><a href="../others/ui-clipboard.html">Clip Board</a></li>
<li><a href="../others/ui-files.html">File Manager</a></li>
<li><a href="../others/ui-check-radio.html"><span>Check & Radio</span></a></li>
</ul>
</li>
<li>
<a href="javascript: void(0);"><i class="ti-control-record"></i>Advanced UI <span class="menu-arrow left-has-menu"><i class="mdi mdi-chevron-right"></i></span></a>
<ul class="nav-second-level" aria-expanded="false">
<li><a href="../others/advanced-rangeslider.html">Range Slider</a></li>
<li><a href="../others/advanced-sweetalerts.html">Sweet Alerts</a></li>
<li><a href="../others/advanced-nestable.html">Nestable List</a></li>
<li><a href="../others/advanced-ratings.html">Ratings</a></li>
<li><a href="../others/advanced-highlight.html">Highlight</a></li>
<li><a href="../others/advanced-session.html">Session Timeout</a></li>
<li><a href="../others/advanced-idle-timer.html">Idle Timer</a></li>
</ul>
</li>
<li>
<a href="javascript: void(0);"><i class="ti-control-record"></i>Forms <span class="menu-arrow left-has-menu"><i class="mdi mdi-chevron-right"></i></span></a>
<ul class="nav-second-level" aria-expanded="false">
<li><a href="../others/forms-elements.html">Basic Elements</a></li>
<li><a href="../others/forms-advanced.html">Advance Elements</a></li>
<li><a href="../others/forms-validation.html">Validation</a></li>
<li><a href="../others/forms-wizard.html">Wizard</a></li>
<li><a href="../others/forms-editors.html">Editors</a></li>
<li><a href="../others/forms-repeater.html">Repeater</a></li>
<li><a href="../others/forms-x-editable.html">X Editable</a></li>
<li><a href="../others/forms-uploads.html">File Upload</a></li>
</ul>
</li>
<li>
<a href="javascript: void(0);"><i class="ti-control-record"></i>Charts <span class="menu-arrow left-has-menu"><i class="mdi mdi-chevron-right"></i></span></a>
<ul class="nav-second-level" aria-expanded="false">
<li><a href="../others/charts-apex.html">Apex</a></li>
<li><a href="../others/charts-morris.html">Morris</a></li>
<li><a href="../others/charts-flot.html">Flot</a></li>
<li><a href="../others/charts-chartjs.html">Chartjs</a></li>
</ul>
</li>
<li>
<a href="javascript: void(0);"><i class="ti-control-record"></i>Tables <span class="menu-arrow left-has-menu"><i class="mdi mdi-chevron-right"></i></span></a>
<ul class="nav-second-level" aria-expanded="false">
<li><a href="../others/tables-basic.html">Basic</a></li>
<li><a href="../others/tables-datatable.html">Datatables</a></li>
<li><a href="../others/tables-responsive.html">Responsive</a></li>
<li><a href="../others/tables-editable.html">Editable</a></li>
</ul>
</li>
<li>
<a href="javascript: void(0);"><i class="ti-control-record"></i>Icons <span class="menu-arrow left-has-menu"><i class="mdi mdi-chevron-right"></i></span></a>
<ul class="nav-second-level" aria-expanded="false">
<li><a href="../others/icons-materialdesign.html">Material Design</a></li>
<li><a href="../others/icons-dripicons.html">Dripicons</a></li>
<li><a href="../others/icons-fontawesome.html">Font awesome</a></li>
<li><a href="../others/icons-themify.html">Themify</a></li>
<li><a href="../others/icons-typicons.html">Typicons</a></li>
</ul>
</li>
<li>
<a href="javascript: void(0);"><i class="ti-control-record"></i>Maps <span class="menu-arrow left-has-menu"><i class="mdi mdi-chevron-right"></i></span></a>
<ul class="nav-second-level" aria-expanded="false">
<li><a href="../others/maps-google.html">Google Maps</a></li>
<li><a href="../others/maps-vector.html">Vector Maps</a></li>
</ul>
</li>
<li>
<a href="javascript: void(0);"><i class="ti-control-record"></i>Email Template <span class="menu-arrow left-has-menu"><i class="mdi mdi-chevron-right"></i></span></a>
<ul class="nav-second-level" aria-expanded="false">
<li><a href="../others/email-templates-basic.html">Basic Action Email</a></li>
<li><a href="../others/email-templates-alert.html">Alert Email</a></li>
<li><a href="../others/email-templates-billing.html">Billing Email</a></li>
</ul>
</li>
</ul>
</li>
<li>
<a href="javascript: void(0);"><i class="ti-layers-alt"></i><span>Pages</span><span class="menu-arrow"><i class="mdi mdi-chevron-right"></i></span></a>
<ul class="nav-second-level" aria-expanded="false">
<li class="nav-item"><a class="nav-link" href="../pages/pages-profile.html"><i class="ti-control-record"></i>Profile</a></li>
<li class="nav-item"><a class="nav-link" href="../pages/pages-timeline.html"><i class="ti-control-record"></i>Timeline</a></li>
<li class="nav-item"><a class="nav-link" href="../pages/pages-treeview.html"><i class="ti-control-record"></i>Treeview</a></li>
<li class="nav-item"><a class="nav-link" href="../pages/pages-starter.html"><i class="ti-control-record"></i>Starter Page</a></li>
<li class="nav-item"><a class="nav-link" href="../pages/pages-pricing.html"><i class="ti-control-record"></i>Pricing</a></li>
<li class="nav-item"><a class="nav-link" href="../pages/pages-gallery.html"><i class="ti-control-record"></i>Gallery</a></li>
</ul>
</li>
<li>
<a href="javascript: void(0);"><i class="ti-lock"></i><span>Authentication</span><span class="menu-arrow"><i class="mdi mdi-chevron-right"></i></span></a>
<ul class="nav-second-level" aria-expanded="false">
<li class="nav-item"><a class="nav-link" href="../authentication/auth-login.html"><i class="ti-control-record"></i>Log in</a></li>
<li class="nav-item"><a class="nav-link" href="../authentication/auth-register.html"><i class="ti-control-record"></i>Register</a></li>
<li class="nav-item"><a class="nav-link" href="../authentication/auth-recover-pw.html"><i class="ti-control-record"></i>Recover Password</a></li>
<li class="nav-item"><a class="nav-link" href="../authentication/auth-lock-screen.html"><i class="ti-control-record"></i>Lock Screen</a></li>
<li class="nav-item"><a class="nav-link" href="../authentication/auth-404.html"><i class="ti-control-record"></i>Error 404</a></li>
<li class="nav-item"><a class="nav-link" href="../authentication/auth-500.html"><i class="ti-control-record"></i>Error 500</a></li>
</ul>
</li>
</ul>
</div>
<!-- end left-sidenav-->
<div class="page-wrapper">
<!-- Page Content-->
<div class="page-content">
<div class="container-fluid">
<!-- Page-Title -->
<div class="row">
<div class="col-sm-12">
<div class="page-title-box">
<div class="float-right">
<ol class="breadcrumb">
<li class="breadcrumb-item"><a href="javascript:void(0);">Crovex</a></li>
<li class="breadcrumb-item"><a href="javascript:void(0);">UI Kit</a></li>
<li class="breadcrumb-item active">Wizard</li>
</ol>
</div>
<h4 class="page-title">Form Wizard</h4>
</div><!--end page-title-box-->
</div><!--end col-->
</div>
<!-- end page title end breadcrumb -->
<div class="row">
<div class="col-sm-12">
<div class="card">
<div class="card-body">
<h4 class="mt-0 header-title">Jquery Steps Wizard</h4>
<p class="text-muted mb-3">A powerful jQuery wizard plugin that
supports accessibility and HTML5</p>
<form id="form-horizontal" class="form-horizontal form-wizard-wrapper">
<h3>Seller Details</h3>
<fieldset>
<div class="row">
<div class="col-md-6">
<div class="form-group row">
<label for="txtFirstNameBilling" class="col-lg-3 col-form-label">Contact Person</label>
<div class="col-lg-9">
<input id="txtFirstNameBilling" name="txtFirstNameBilling" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
<div class="col-md-6">
<div class="form-group row">
<label for="txtLastNameBilling" class="col-lg-3 col-form-label">Mobile No.</label>
<div class="col-lg-9">
<input id="txtLastNameBilling" name="txtLastNameBilling" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
</div><!--end row-->
<div class="row">
<div class="col-md-6">
<div class="form-group row">
<label for="txtCompanyBilling" class="col-lg-3 col-form-label">Landline No.</label>
<div class="col-lg-9">
<input id="txtCompanyBilling" name="txtCompanyBilling" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
<div class="col-md-6">
<div class="form-group row">
<label for="txtEmailAddressBilling" class="col-lg-3 col-form-label">Email Address</label>
<div class="col-lg-9">
<input id="txtEmailAddressBilling" name="txtEmailAddressBilling" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
</div><!--end row-->
<div class="row">
<div class="col-md-6">
<div class="form-group row">
<label for="txtAddress1Billing" class="col-lg-3 col-form-label">Address 1</label>
<div class="col-lg-9">
<textarea id="txtAddress1Billing" name="txtAddress1Billing" rows="4" class="form-control"></textarea>
</div>
</div><!--end form-group-->
</div><!--end col-->
<div class="col-md-6">
<div class="form-group row">
<label for="txtAddress2Billing" class="col-lg-3 col-form-label">Warehouse Address</label>
<div class="col-lg-9">
<textarea id="txtAddress2Billing" name="txtAddress2Billing" rows="4" class="form-control"></textarea>
</div>
</div><!--end form-group-->
</div><!--end col-->
</div><!--end row-->
<div class="row">
<div class="col-md-6">
<div class="form-group row">
<label for="txtCityBilling" class="col-lg-3 col-form-label">Company Type</label>
<div class="col-lg-9">
<input id="txtCityBilling" name="txtCityBilling" type="text" class="form-control">
</div>
</div>
</div>
<div class="col-md-6">
<div class="form-group row">
<label for="txtStateProvinceBilling" class="col-lg-3 col-form-label">Live Market A/C</label>
<div class="col-lg-9">
<input id="txtStateProvinceBilling" name="txtStateProvinceBilling" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
</div><!--end row-->
<div class="row">
<div class="col-md-6">
<div class="form-group row">
<label for="txtTelephoneBilling" class="col-lg-3 col-form-label">Product Category</label>
<div class="col-lg-9">
<input id="txtTelephoneBilling" name="txtTelephoneBilling" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
<div class="col-md-6">
<div class="form-group row">
<label for="txtFaxBilling" class="col-lg-3 col-form-label">Product Sub Category</label>
<div class="col-lg-9">
<input id="txtFaxBilling" name="txtFaxBilling" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
</div><!--end row-->
</fieldset><!--end fieldset-->
<h3>Company Document</h3>
<fieldset>
<div class="row">
<div class="col-md-6">
<div class="form-group row">
<label for="txtFirstNameShipping" class="col-lg-3 col-form-label">PAN Card</label>
<div class="col-lg-9">
<input id="txtFirstNameShipping" name="txtFirstNameShipping" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
<div class="col-md-6">
<div class="form-group row">
<label for="txtLastNameShipping" class="col-lg-3 col-form-label">VAT/TIN No.</label>
<div class="col-lg-9">
<input id="txtLastNameShipping" name="txtLastNameShipping" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
</div><!--end row-->
<div class="row">
<div class="col-md-6">
<div class="form-group row">
<label for="txtCompanyShipping" class="col-lg-3 col-form-label">CST No.</label>
<div class="col-lg-9">
<input id="txtCompanyShipping" name="txtCompanyShipping" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
<div class="col-md-6">
<div class="form-group row">
<label for="txtEmailAddressShipping" class="col-lg-3 col-form-label">Service Tax No.</label>
<div class="col-lg-9">
<input id="txtEmailAddressShipping" name="txtEmailAddressShipping" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
</div><!--end row-->
<div class="row">
<div class="col-md-6">
<div class="form-group row">
<label for="txtCityShipping" class="col-lg-3 col-form-label">Company UIN</label>
<div class="col-lg-9">
<input id="txtCityShipping" name="txtCityShipping" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
<div class="col-md-6">
<div class="form-group row">
<label for="txtStateProvinceShipping" class="col-lg-3 col-form-label">Declaration</label>
<div class="col-lg-9">
<input id="txtStateProvinceShipping" name="txtStateProvinceShipping" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
</div><!--end row-->
</fieldset><!--end fieldset-->
<h3>Bank Details</h3>
<fieldset>
<div class="row">
<div class="col-md-6">
<div class="form-group row">
<label for="txtNameCard" class="col-lg-3 col-form-label">Name on Card</label>
<div class="col-lg-9">
<input id="txtNameCard" name="txtNameCard" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
<div class="col-md-6">
<div class="form-group row">
<label for="ddlCreditCardType" class="col-lg-3 col-form-label">Credit Card Type</label>
<div class="col-lg-9">
<select id="ddlCreditCardType" name="ddlCreditCardType" class="form-control">
<option value="">--Please Select--</option>
<option value="AE">American Express</option>
<option value="VI">Visa</option>
<option value="MC">MasterCard</option>
<option value="DI">Discover</option>
</select>
</div>
</div><!--end form-group-->
</div><!--end col-->
</div><!--end row-->
<div class="row">
<div class="col-md-6">
<div class="form-group row">
<label for="txtCreditCardNumber" class="col-lg-3 col-form-label">Credit Card Number</label>
<div class="col-lg-9">
<input id="txtCreditCardNumber" name="txtCreditCardNumber" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
<div class="col-md-6">
<div class="form-group row">
<label for="txtCardVerificationNumber" class="col-lg-3 col-form-label">Card Verification Number</label>
<div class="col-lg-9">
<input id="txtCardVerificationNumber" name="txtCardVerificationNumber" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
</div><!--end row-->
<div class="row">
<div class="col-md-6">
<div class="form-group row">
<label for="txtExpirationDate" class="col-lg-3 col-form-label">Expiration Date</label>
<div class="col-lg-9">
<input id="txtExpirationDate" name="txtExpirationDate" type="text" class="form-control">
</div>
</div><!--end form-group-->
</div><!--end col-->
</div><!--end row-->
</fieldset><!--end fieldset-->
<h3>Confirm Detail</h3>
<fieldset>
<div class="p-3">
<label class="custom-control custom-checkbox">
<input type="checkbox" class="custom-control-input">
<span class="custom-control-indicator"></span>
<span class="custom-control-description">I agree with the Terms and Conditions.</span>
</label>
</div>
</fieldset><!--end fieldset-->
</form><!--end form-->
</div><!--end card-body-->
</div><!--end card-->
</div><!--end col-->
</div><!--end row-->
<div class="row">
<div class="col-sm-12">
<div class="card">
<div class="card-body">
<h4 class="mt-0 header-title">Jquery Steps Wizard Vertical</h4>
<p class="text-muted mb-3">A powerful jQuery wizard plugin that
supports accessibility and HTML5</p>
<form id="form-vertical" class="form-horizontal form-wizard-wrapper">
<h3>Create Account</h3>
<fieldset>
<div class="form-group ">
<label for="example-email-input1" class="col-form-label">Email</label>
<div class="">
<input class="form-control" type="email" value="" id="example-email-input1" placeholder="@Example.com">
</div>
</div><!--end form-group-->
<div class="form-group ">
<label for="example-password-input1" class="col-form-label">Password</label>
<div class="">
<input class="form-control" type="password" id="example-password-input1" placeholder="Password">
</div>
</div><!--end form-group-->
<div class="form-group ">
<label for="example-password-input01" class="col-form-label">Confirm Password</label>
<div class="">
<input class="form-control" type="password" id="example-password-input01" placeholder="Confirm Password">
</div>
</div><!--end form-group-->
<div class="custom-control custom-checkbox my-3">
<input type="checkbox" class="custom-control-input" id="customCheck1">
<label class="custom-control-label" for="customCheck1">I accept the terms and conditions</label>
</div>
</fieldset><!--end fieldset-->
<h3>Basic Form</h3>
<fieldset>
<div class="form-group row">
<div class="col-sm-12 col-lg-6">
<input class="form-control" type="text" id="name" placeholder="Name">
</div>
<div class="col-sm-12 col-lg-6">
<input class="form-control" type="email" id="example-email-input3" placeholder="Email">
</div>
</div><!--end form-group-->
<div class="form-group row">
<div class="col-sm-12">
<input class="form-control" type="text" id="subject2" placeholder="Subject">
</div>
</div><!--end form-group-->
<div class="form-group">
<textarea class="form-control" id="exampleFormControlTextarea1" rows="4" placeholder="Your message"></textarea>
</div><!--end form-group-->
<div class="custom-control custom-radio my-2">
<input type="radio" id="customRadio1" name="customRadio" class="custom-control-input" checked="">
<label class="custom-control-label" for="customRadio1">Male</label>
</div><!--end form-group-->
<div class="custom-control custom-radio my-2">
<input type="radio" id="customRadio2" name="customRadio" class="custom-control-input">
<label class="custom-control-label" for="customRadio2">Female</label>
</div>
</fieldset><!--end fieldset-->
<h3>Confurm Detail</h3>
<fieldset>
<p>I agree with the Terms and Conditions.</p>
</fieldset><!--end fieldset-->
</form><!--end form-->
</div><!--end card-body-->
</div><!--end card-->
</div><!--end col-->
</div><!--end row-->
</div><!-- container -->
<footer class="footer text-center text-sm-left">
&copy; 2020 Crovex <span class="text-muted d-none d-sm-inline-block float-right">Crafted with <i class="mdi mdi-heart text-danger"></i> by Mannatthemes</span>
</footer><!--end footer-->
</div>
<!-- end page content -->
</div>
<!-- end page-wrapper -->
<!-- jQuery -->
<script src="../assets/js/jquery.min.js"></script>
<script src="../assets/js/jquery-ui.min.js"></script>
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