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review-design.html
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review-design.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta http-equiv="X-UA-Compatible" content="ie=edge">
<title>Review - BriteCore Form Builder</title>
<link rel="stylesheet" href="node_modules/bootstrap/dist/css/bootstrap.css">
<link rel="stylesheet" href="node_modules/font-awesome/css/font-awesome.min.css">
<link rel="stylesheet" href="css/selectric.css">
<link rel="stylesheet" href="css/theme.min.css">
</head>
<body>
<nav class="navbar navbar-fixed-top">
<div class="container-fluid">
<!-- Brand and toggle get grouped for better mobile display -->
<div class="navbar-header">
<button type="button" class="navbar-toggle collapsed" data-toggle="collapse" data-target="#regcheck-navi" aria-expanded="false">
<span class="sr-only">Toggle navigation</span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
</button>
<a class="navbar-brand" href="#">
<figure>
<img src="images/logo.png" alt="">
</figure>
</a>
</div>
<!-- Collect the nav links, forms, and other content for toggling -->
<div class="collapse navbar-collapse" id="regcheck-navi">
<ul class="nav navbar-nav">
<li><a href="static-design.html">Design + Build</a></li>
<li class="active"><a href="review-design.html">Review</a></li>
</ul>
<ul class="nav navbar-nav navbar-right">
<li class="menu-button">
<a href="javascript:void(0)" data-toggle="modal" data-target="#new-validation-modal">New Form</a>
</li>
</ul>
</div><!-- /.navbar-collapse -->
</div><!-- /.container-fluid -->
</nav>
<div class="page-wrapper">
<div class="sidebar-wrapper sidebar--closed">
<ul class="sidebar">
<li class="title">Choose an Addon</li>
<li class="navitem-control">
<a href="#">
<i class="fa fa-chevron-down"></i> Text
</a>
<ul class="inner-navitem">
<li><a href="#">Title</a></li>
<li><a href="#">Paragraph</a></li>
<li><a href="#">Text Input</a></li>
<li><a href="#">Email</a></li>
</ul>
</li>
<li class="navitem-control">
<a href="#">
<i class="fa fa-chevron-down"></i> Number
</a>
<ul class="inner-navitem">
<li><a href="#">Range</a></li>
<li><a href="#">Date</a></li>
<li><a href="#">Date & Time</a></li>
<li><a href="#">Time</a></li>
<li><a href="#">Currency</a></li>
<li><a href="#">Phone Number</a></li>
<li><a href="#">Month</a></li>
</ul>
</li>
<li class="navitem-control">
<a href="#">
<i class="fa fa-chevron-down"></i> User Control
</a>
<ul class="inner-navitem">
<li><a href="#">Upload</a></li>
<li><a href="#">Image</a></li>
<li><a href="#">Button</a></li>
<li><a href="#">Select</a></li>
</ul>
</li>
<li class="navitem-control">
<a href="#">
<i class="fa fa-chevron-down"></i> Controls
</a>
<ul class="inner-navitem">
<li><a href="#">Link</a></li>
<li><a href="#">Color</a></li>
<li><a href="#">Radio</a></li>
<li><a href="#">Checkbox</a></li>
</ul>
</li>
<li class="navitem-control">
<a href="#">
<i class="fa fa-chevron-down"></i> Utilities
</a>
<ul class="inner-navitem">
<li><a href="#">Horizontal Rule</a></li>
<li><a href="#">Progress</a></li>
</ul>
</li>
</ul>
</div>
<div class="main-content-wrapper">
<div class="container-fluid">
<div class="module-wrapper">
<div class="module-title">
<h1>
<ul>
<li>Abbey Insurance</li>
</ul>
</h1>
</div>
<div class="module-body">
<div class="col-md-8">
<div class="module--filled module-design">
<form action="#" id="mainForm">
<div class="form-group single--column">
<h2 class="module--title" id="header-title">Welcome</h2>
<p class="module--para" id="header-para">Abbey Insurance Ltd is part of the global AA insurance company that provides customized insurance options for clients based on a number of security questions on our systems. This form will help us gather information about you and your circumstances, so we can make the process as swift as possible. Thank you!</p>
</div>
<div class="form-group double--column">
<div class="row">
<div class="col-md-6">
<label for="#" class="module--label">First Name</label>
<input type="text" class="form-control module-input--text" required placeholder="Enter your first name">
<label for="#" class="module--label">Last Name</label>
<input type="text" class="form-control module-input--text" required placeholder="enter your last name">
</div>
<div class="col-md-6">
<label for="#" class="module--label">Are you a New Customer</label>
<select class="form-control module-input--text" required>
<option value="1">Yes</option>
<option value="2">No</option>
</select>
<label for="#" class="module--label">Email</label>
<input type="email" class="form-control module-input--text" required placeholder="Enter Your Email Address">
</div>
</div>
</div>
<div class="form-group double--column">
<div class="row">
<div class="col-md-6">
<label for="#" class="module--label">What is your goal today?</label>
<select class="form-control module-input--text" required>
<option value="1">Update Information</option>
<option value="2">Inquire About Insurance</option>
<option value="2" selected>Buy Car Insurance</option>
<option value="2">Get Pet Insurance</option>
</select>
<label for="#" class="module--label">Car Make</label>
<input type="text" class="form-control module-input--text" required placeholder="Start typing car details">
<label for="#" class="module--label">Car Model</label>
<input type="text" class="form-control module-input--text" required placeholder="Start typing car details">
</div>
<div class="col-md-6">
<label for="#" class="module--label">Age of Vehicle</label>
<input type="month" class="form-control module-input--text" required placeholder="">
<label for="#" class="module--label">Type of Cover</label>
<select class="form-control module-input--text" required>
<option value="1">Fully Comprehensive</option>
<option value="2">Third Party</option>
<option value="2">Fire and Theft</option>
<option value="2">Private Land</option>
</select>
</div>
</div>
</div>
<div class="form-group single--column">
<div class="row">
<div class="col-md-12">
<label for="#" class="module--label">Start Date</label>
<input type="month" class="form-control module-input--text" required>
<label for="#" class="module--label">How long would you like the cover for?</label>
<input type="range" class="form-control module-input--text" min="0" max="12">
<label for="#" class="module--label">End Date</label>
<input type="text" class="form-control module-input--text" required placeholder="We work this out from Start Date and Slider">
</div>
</div>
</div>
<div class="form-group single--column">
<div class="row">
<div class="col-md-12">
<label for="#" class="module--label">Upload Current License Certificate</label>
<input type="file" class="form-control module-input--text" required>
</div>
</div>
</div>
</form>
<form class="cta-form">
<div class="form-group generate--form text-center">
<div class="button-holder">
<a href="#" class="button">Generate my Form</a>
<a href="static-design.html" class="button button--textonly button--default">Edit my Form</a>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- Modal -->
<div class="modal fade" id="new-validation-modal" tabindex="-1" role="dialog" aria-labelledby="new-validation-modal">
<div class="modal-dialog" role="document">
<div class="modal-content">
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button>
<h4 class="modal-title" id="myModalLabel">Tell us about your new form</h4>
<div class="modal-artifact"></div>
</div>
<div class="modal-body row">
<div class="col-md-8 col-sm-offset-2">
<form action="" class="modal-profiles">
<div class="form-group">
<label for="clientid">Form Name</label>
<input type="text" class="form-control" placeholder="Enter Form name">
</div>
<div class="form-group">
<label for="referenceprofile">Does it have a title section?</label>
<select name="referenceprofile" id="reference-profile" class="form-control">
<option value="0">Yes</option>
<option value="1">No</option>
<option value="2">Add Manually</option>
</select>
</div>
</form>
</div>
</div>
<div class="modal-footer">
<div class="button-holder text-center">
<a href="#" class="button">Accept & Create</a>
</div>
</div>
</div>
</div>
</div>
</body>
<script src="node_modules/jquery/dist/jquery.min.js" charset="utf-8"></script>
<script src="node_modules/bootstrap/dist/js/bootstrap.js" charset="utf-8"></script>
<script src="js/jquery.selectric.js" charset="utf-8"></script>
<!-- <script src="js/app.js" charset="utf-8"></script> -->
<script type="text/javascript">
$(function(){
$('select').selectric();
$('.form-group').addClass('no-borders');
});
</script>
</html>