29 lines
1.5 KiB
PHP
29 lines
1.5 KiB
PHP
<hr>
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<div class="form-row custom_fields">
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<!-- Risk Location -->
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<div class="form-group col-md-6">
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<label>Risk Location</label><br>
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<div class="form-check form-check-inline">
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<input class="form-check-input" type="radio" name="risk_location" value="single" <?= isset($lead_edit_data['risk_location']) && $lead_edit_data['risk_location'] == 'single' ? 'checked' : ''; ?>>
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<label class="form-check-label">Single</label>
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</div>
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<div class="form-check form-check-inline">
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<input class="form-check-input" type="radio" name="risk_location" value="multi_with_floter" <?= isset($lead_edit_data['risk_location']) && $lead_edit_data['risk_location'] == 'multi_with_floter' ? 'checked' : ''; ?>>
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<label class="form-check-label">Multi with Floter</label>
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</div>
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<div class="form-check form-check-inline">
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<input class="form-check-input" type="radio" name="risk_location" value="multi_without_floter" <?= isset($lead_edit_data['risk_location']) && $lead_edit_data['risk_location'] == 'multi_without_floter' ? 'checked' : ''; ?>>
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<label class="form-check-label">Multi without Floter</label>
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</div>
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</div>
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<!-- Address -->
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<div class="form-group col-md-6">
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<label for="address">Address</label>
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<textarea class="form-control" id="address" name="address" rows="1"><?= isset($lead_edit_data['address']) ? htmlspecialchars($lead_edit_data['address']) : ''; ?></textarea>
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</div>
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</div>
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