<div class="mx-auto" style="max-width: 800px;"> <div class="panel mb-0 rounded-0"> <div class="panel-hdr"> <h2>{$_L['Add New Contact']}</h2> </div> <div class="panel-container"> <div class="panel-content"> <form class="form-horizontal" id="rform"> <div class="mb-3"><label for="account">{$_L['Full Name']}</label> <input type="text" id="account" name="account" class="form-control" > </div> <div class="mb-3"><label for="company">{$_L['Company Name']}</label> <input type="text" id="company" name="company" class="form-control"> </div> <div class="mb-3"><label for="email">{$_L['Email']}</label> <input type="text" id="email" name="email" class="form-control" > </div> <div class="mb-3"><label for="phone">{$_L['Phone']}</label> <input type="text" id="phone" name="phone" class="form-control" > </div> <div class="mb-3"><label for="m_address">{$_L['Address']}</label> <input type="text" id="m_address" name="m_address" class="form-control" > </div> <div class="mb-3"><label for="city">{$_L['City']}</label> <input type="text" id="city" name="city" class="form-control" > </div> <div class="mb-3"><label for="state">{$_L['State Region']}</label> <input type="text" id="state" name="state" class="form-control" > </div> <div class="mb-3"><label for="zip">{$_L['ZIP Postal Code']} </label> <input type="text" id="zip" name="zip" class="form-control" > </div> <div class="mb-3"><label for="country">{$_L['Country']}</label> <select name="country" class="country" id="country" class="form-control"> <option value="">{$_L['Select Country']}</option> {$countries} </select> </div> <div class="mb-3"> <button class="btn btn-primary contact_submit" type="submit" id="contact_submit"><i class="fal fa-check"></i> {$_L['Add Contact']}</button> </div> </form> </div> </div> </div> </div>