<?php
/**
 * Created by PhpStorm.
 * User: roysinclair
 * Date: 2016/02/29
 * Time: 8:33 AM
 */

//20190510 - Included the layout in wizard steps. - Gael

$stepData = json_decode($_COOKIE[$_SERVER["QUERY_STRING"]]);


$Physical_Address_1 = isset($stepData) ? $stepData->Physical_Address_1 : "";
$Physical_Address_2 = isset($stepData) ? $stepData->Physical_Address_2 : "";
$Physical_Suburb = isset($stepData) ? $stepData->Physical_Suburb : "";
$Physical_Code = isset($stepData) ? $stepData->Physical_Code : "";

$postalAddress = isset($stepData) ? $stepData->postalAddress : "";

$Postal_Address_1 = isset($stepData) ? $stepData->Postal_Address_1 : "";
$Postal_Address_2 = isset($stepData) ? $stepData->Postal_Address_2 : "";
$Postal_Suburb = isset($stepData) ? $stepData->Postal_Suburb : "";
$Postal_Code = isset($stepData) ? $stepData->Postal_Code : "";

$Telephone_Work = isset($stepData) ? $stepData->Telephone_Work : "";
$Telephone_Home = isset($stepData) ? $stepData->Telephone_Home : "";
$Telephone_Mobile = isset($stepData) ? $stepData->Telephone_Mobile : "";


$WizardContent = "
    <h1 class='text-left hFont'>Contact Information</h1>
    <h5 class='text-left'>We’d like to keep in touch. Prefer to have your statements posted? Let us know. </h5>

    <form role='form' id='sa-natural-contact'>
        <div class='form-body padding-top35px'>
            <div class='form-group ' id='Physical-Address-1' >
                <label for='form_control_1'>Physical Address </label>
                <span class='help-block hiddenContent'></span>
                <textarea type='text' class='form-control input-lg' name='Physical_Address_1' row='3'>$Physical_Address_1</textarea>
                
            </div>

            <!-- <div class='form-group form-md-line-input-signup' id='Physical-Address-2'>
                <label for='form_control_1'>Physical Address </label>
                <span class='help-block hiddenContent'></span>
                <input type='text' class='form-control input-lg' value='$Physical_Address_2'  >
                
            </div> -->

            <div class='form-group form-md-line-input-signup' id='Physical-Suburb' >
                <label for='form_control_1'>Suburb/City </label>
                <span class='help-block hiddenContent'></span>
                <input type='text' class='form-control input-lg' value='$Physical_Suburb'>
                
            </div>

            <div class='form-group form-md-line-input-signup' id='Physical-Code' >
                <label for='form_control_1'>Postal Code </label>
                <span class='help-block hiddenContent'></span>
                <input type='numbers' class='form-control input-lg' value='$Physical_Code'>
                
            </div>

            <div class='form-group form-md-line-input-signup'>
                <div class='col-md-10'>
                    <div class='md-checkbox-inline'>
                        <div class='md-checkbox'>
                            <input type='checkbox' id='postalAddress' name='signIn' class='md-check'>
                            <label for='postalAddress' >Postal and residential address the same ?
                                <span class='inc' ></span>
                                <span class='check'></span>
                                <span class='box'></span> </label>
                        </div>
                    </div>
                </div>
            </div>

            <div class='clearfix margin-bottom-40'></div>

            <!-- VISIBLE UNTIL postalAddress ? is CLICKED -->
            <div id='postalAddressContent'>
                <div class='form-group form-md-line-input-signup' id='Postal-Address-1' >
                    <label for='form_control_1'>Postal Address </label>
                    <span class='help-block hiddenContent'></span>
                    <textarea type='text' class='form-control input-lg' name='Postal_Address_1' row='3'>$Postal_Address_1</textarea>
                    
                </div>

                <!-- <div class='form-group form-md-line-input-signup' id='Postal-Address-2' >
                    <label for='form_control_1'>Postal Address line 2</label>
                    <span class='help-block hiddenContent'></span>
                    <input type='text' class='form-control input-lg' value='$Postal_Address_2'>
                    
                </div> -->

                <div class='form-group form-md-line-input-signup ' id='Postal-Suburb' >
                    <label for='form_control_1'>Suburb/City</label>
                    <span class='help-block hiddenContent'></span>
                    <input type='text' class='form-control input-lg' value='$Postal_Suburb'>
                    
                </div>

                <div class='form-group form-md-line-input-signup' id='Postal-Code' >
                    <label for='form_control_1'>Postal Code </label>
                    <span class='help-block hiddenContent'></span>
                    <input type='numbers' class='form-control input-lg' value='$Postal_Code'>
                    
                </div>
            </div>
            <!-- END: VISIBLE UNTIL postalAddress ? is CLICKED -->

            <div class='form-group form-md-line-input-signup' id='Telephone-Work' >
                <label for='form_control_1'>Telephone Work</label>
                <span class='help-block hiddenContent'></span>
                <input type='text' class='form-control input-lg' value='$Telephone_Work' id='mask_phone_work'>
                
            </div>

            <div class='form-group form-md-line-input-signup' id='Telephone-Home' >
                <label for='form_control_1'>Telephone Home</label>
                <span class='help-block hiddenContent'></span>
                <input type='text' class='form-control input-lg' value='$Telephone_Home' id='mask_phone_home'>
                
            </div>

            <div class='form-group form-md-line-input-signup' id='Telephone-Mobile' >
                <label for='form_control_1'>Telephone Mobile</label>
                <span class='help-block hiddenContent'></span>
                <input type='text' class='form-control input-lg' value='$Telephone_Mobile' id='mask_phone_mobile'>
                
            </div>
        </div>
        <div class='form-actions noborder  button-right text-center'>
            <div class='padding-top52px'></div>
            <a href='#'class='padding-right'>
                <button type='button' class='btn purple btn-lg' id='saveData'>Continue</button>
            </a>
        </div>

        <div class='form-actions noborder '>
            <div class='padding-top52px'></div>
            <a href='#' class='padding-left'>
                <button type='button' class='btn white btn-lg' id='backButton'>Back</button>
            </a>
        </div>

        <div class='form-actions noborder hidden' id='updateContact'>
            <div class='padding-top52px'></div>
            <a href='#'>
                <button type='button' class='btn white btn-lg' id='updateButton'>Update</button>
            </a>
        </div>
    </form>
    <div class='padding-bottom-100px'> </div>
";

require("layout_basic.php");
?>

