Tryag File Manager

/home/egg.eemo.co.kr/public_html/super5/paper_customer_write.php

<?
include_once("inc_header.php");
$on_menu="paper";
$on_sub_menu=3;

$rs_permit=RS("select * from admin_permit where admin_mem_no='{$_COOKIE[umemno]}' and menu_id='$on_menu' and menu_sub_id='$on_sub_menu' and is_write='1' ");
if($_PERMIT_FREE || $_COOKIE[umem_level] == 1 || $rs_permit[no]) {
} else {
	echo "<script>alert('접근권한이 없습니다.');history.back();</script>";
	exit;
}
?>
<!DOCTYPE html>
<html>

<head>

<?
	include_once("inc_sidemenu.php");
	?>

<div id="page-wrapper" class="gray-bg">
			<?
			include_once("inc_top.php");
			include_once("inc_now_position.php");

?>
            
        <div class="wrapper wrapper-content animated fadeInRight">
            
            <form name='frm_reg' method='post' enctype="multipart/form-data" action="paper_customer_write_do.php">
            <div class="row">
                <div class="col-lg-12 pb-2">
                    <div class="ibox ">
						<div class="ibox-title">
							<h5>1. 설치대상</h5>
							<div class="ibox-tools">
								<a class="collapse-link">
									<i class="fa fa-chevron-up"></i>
								</a>
								
								
								<a class="close-link">
									<i class="fa fa-times"></i>
								</a>
							</div>
						</div>
						<div class="ibox-content">
							
								<div class="form-group  row">
									<div class="col-sm-6 b-r">
										<div class="form-group  row"><label class="col-sm-4 col-form-label">상호 *</label>
											<div class="col-sm-4"><input type="text" name='sangho' class="form-control" value=""  autocomplete="off"></div>
										</div>
									</div>

<div class="form-group  row"><label class="col-sm-2 col-form-label">주소 *</label>
									<div class="col-lg-4"><input type="text" name='farm_addr' class="form-control" value="" autocomplete="off"></div>
								</div>
								<div class="form-group  row"><label class="col-sm-2 col-form-label">나머지 주소</label>
									<div class="col-lg-2"><input type="text" name='farm_addr2' class="form-control" value="" autocomplete="off"></div>
									<div class="col-lg-2">주소를 정확히 넣으면 시도, 시군구 , 경위도 자동 계산됩니다.</div>
								</div>
								
								
						</div>
					</div>
                </div>

<div class="col-sm-6">
										<div class="form-group  row"><label class="col-sm-4 col-form-label">주민등록번호 *</label>
											<div class="col-sm-2"><input type="text" name='jumin1' class="form-control" value=""  autocomplete="off"></div>
											<div class="col-sm-2"><input type="text" name='jumin2' class="form-control" value=""  autocomplete="off"></div>
										</div>
									</div>
								</div>
								<div class="hr-line-dashed"></div>

<div class="col-sm-6">
										<div class="form-group  row"><label class="col-sm-4 col-form-label">사업자등록번호</label>
											<div class="col-sm-4"><input type="text" name='saup_num' class="form-control" value=""  autocomplete="off"></div>
										</div>
									</div>
								</div>
								<div class="hr-line-dashed"></div>

<div class="col-sm-6">
										<div class="form-group  row"><label class="col-sm-4 col-form-label">법인등록번호</label>
											<div class="col-sm-4"><input type="text" name='bupin_num' class="form-control" value=""  autocomplete="off"></div>
										</div>
									</div>
								</div>
								
						</div>
					</div>
                </div>

<div class="col-lg-12 pb-2">
                    <div class="ibox ">
						<div class="ibox-title">
							<h5>3. 계약조건</h5>
							<div class="ibox-tools">
								<a class="collapse-link">
									<i class="fa fa-chevron-up"></i>
								</a>
								
								
								<a class="close-link">
									<i class="fa fa-times"></i>
								</a>
							</div>
						</div>
						<div class="ibox-content">
							
								<div class="form-group  row">
									<div class="col-sm-6 b-r">
										<div class="form-group  row"><label class="col-sm-4 col-form-label">계약기간 *</label>
											<div class="col-sm-2">
												서비스 개시일로부터
											</div>
											<div class="col-sm-2">
												<div class="i-checks"><label> <input type="radio" value="1" name="gigan" checked> <i></i> 1년 </label></div>
											</div>
											<div class="col-sm-2">
												<div class="i-checks"><label> <input type="radio" value="3" name="gigan"> <i></i> 3년 </label></div>
											</div>
										</div>
									</div>

<div class="col-sm-6">
										<div class="form-group  row"><label class="col-sm-4 col-form-label">설치예정일 *</label>
											<div class="col-sm-4"><input type="date" name='install_date' class="form-control" value=""  autocomplete="off"></div>
										</div>
									</div>
								</div>
								<div class="hr-line-dashed"></div>

<div class="form-group  row">
									<div class="col-sm-6 b-r">
										<div class="form-group  row"><label class="col-sm-4 col-form-label">서비스기간(무상A/S)</label>
											<div class="col-sm-3"><input type="date" name='as_sdate' class="form-control" value=""  autocomplete="off"></div>
											<div class="col-sm-1" style='text-align:center'>~</div>
											<div class="col-sm-3"><input type="date" name='as_edate' class="form-control" value=""  autocomplete="off"></div>
										</div>
									</div>

</div>
								
						</div>
					</div>
                </div>

<div class="form-group  row">
									<div class="col-sm-12" style='text-align:right'>
										* 상기 이용료는 부가세 별도입니다.
									</div>
								</div>
								
						</div>
					</div>
                </div>

<div class="form-group  row">
									<div class="col-sm-6 b-r">
										<div class="form-group  row"><label class="col-sm-4 col-form-label">결제일</label>
											<div class="col-sm-4">
												<input type="date" name='install_geyak_gulje_date' class="form-control" value=""  autocomplete="off">
											</div>
										</div>
									</div>
									<div class="col-sm-6">
										<div class="form-group  row"><label class="col-sm-4 col-form-label">선택</label>
											<div class="col-sm-2">
												<div class="i-checks"><label> <input type="radio" value="1" name="install_jan_chk" checked> <i></i> 일시불 </label></div>
											</div>
											<div class="col-sm-2">
												<div class="i-checks"><label> <input type="radio" value="2" name="install_jan_chk"> <i></i> 할부 </label></div>
											</div>
										</div>
										<div class="form-group  row"><label class="col-sm-4 col-form-label">일시불</label>
											<div class="col-sm-3">
												<input type="date" name='install_jan_date' class="form-control" value=""  autocomplete="off">
											</div>
										</div>
										<div class="form-group  row"><label class="col-sm-4 col-form-label">할부</label>
											<div class="col-sm-2">
												<input type="number" name='install_jan_halbu_whecha' class="form-control" value=""  autocomplete="off">
											</div>
											<div class="col-sm-1">회</div>
											<div class="col-sm-2">
												<input type="number" name='install_jan_halbu_month' class="form-control" value=""  autocomplete="off">
											</div>
											<div class="col-sm-1">개월</div>
										</div>
									</div>
								</div>
								<div class="hr-line-dashed"></div>
								<div class="form-group  row">
									<div class="col-sm-12" style='text-align:right'>
										* 상기 공사비는 부가세 별도입니다.
									</div>
								</div>
								
						</div>
					</div>
                </div>

<div class="col-lg-12 pb-2">
                    <div class="ibox ">
						<div class="ibox-title">
							<h5>6. 결제사항</h5>
							<div class="ibox-tools">
								<a class="collapse-link">
									<i class="fa fa-chevron-up"></i>
								</a>
								
								
								<a class="close-link">
									<i class="fa fa-times"></i>
								</a>
							</div>
						</div>
						<div class="ibox-content">
							
								<div class="form-group  row">
									<div class="col-sm-6 b-r">
										<div class="form-group  row"><label class="col-sm-4 col-form-label">청구서 수신 E-mail</label>
											<div class="col-sm-4">
												<input type="email" name='gulje_balsong_email' class="form-control" value=""  autocomplete="off">
											</div>
										</div>
									</div>
									<div class="col-sm-6">
										<div class="form-group  row"><label class="col-sm-4 col-form-label">세금계산서 발행용 E-mail</label>
											<div class="col-sm-4">
												<input type="email" name='gulje_segum_email' class="form-control" value=""  autocomplete="off">
											</div>
										</div>
									</div>
									
								</div>
								
						</div>
					</div>
                </div>

<div class="col-lg-12 pb-2">
                    <div class="ibox ">
						<div class="ibox-title">
							<h5>7. 계약체결</h5>
							<div class="ibox-tools">
								<a class="collapse-link">
									<i class="fa fa-chevron-up"></i>
								</a>
								
								
								<a class="close-link">
									<i class="fa fa-times"></i>
								</a>
							</div>
						</div>
						<div class="ibox-content">
							
								<div class="form-group  row">
									<div class="col-sm-6 b-r">
										<div class="form-group  row"><label class="col-sm-4 col-form-label">신청인 성함</label>
											<div class="col-sm-4">
												<input type="text" name='sinchung_ja_name' class="form-control" value=""  autocomplete="off">
											</div>
										</div>
									</div>
									<div class="col-sm-6">
										<div class="form-group  row"><label class="col-sm-4 col-form-label">계약체결일자</label>
											<div class="col-sm-4">
												<input type="date" name='jdate' class="form-control" value="<?=date('Y-m-d')?>"  autocomplete="off">
											</div>
										</div>
									</div>
									
								</div>
								
						</div>
					</div>
                </div>

<div class="modal-footer float-right">
					<button type="button" class="btn btn-default" onclick="history.back()">Cancel</button>
					<button type="button" class="btn btn-primary" onclick="goSubmit()">저장</button>
			    </div>

</form>
            </div>
        </div>
		<?
		include_once("inc_footer.php");
		?>
        </div>
        </div>

<script src="js/jquery-3.1.1.min.js"></script>
    <script src="js/popper.min.js"></script>
    <script src="js/bootstrap.js"></script>
    <script src="js/plugins/metisMenu/jquery.metisMenu.js"></script>
    <script src="js/plugins/slimscroll/jquery.slimscroll.min.js"></script>

<script src="js/plugins/peity/jquery.peity.min.js"></script>

<script src="js/inspinia.js"></script>
    <script src="js/plugins/pace/pace.min.js"></script>

<script src="js/plugins/iCheck/icheck.min.js"></script>

<script src="js/plugins/jasny/jasny-bootstrap.min.js"></script>

<script src="js/plugins/chosen/chosen.jquery.js"></script>

<script src="js/demo/peity-demo.js"></script>
	<script src="css/messagebox.js"></script>

$('.chosen-select').chosen({width: "100%"});
        });
    </script>

</body>

</html>

function goSubmit() {
	var form=document.frm_reg;

if(!form.sangho.value) {
		alert("상호명을 입력하세요.");
		form.sangho.focus();
		return;
	}

if(!form.tel.value) {
		alert("전화번호를 입력하세요.");
		form.name.focus();
		return;
	}

if(!form.farm_addr.value) {
		alert("농장주소를 입력하세요.");
		form.farm_addr.focus();
		return;
	}
	
	if(confirm('정말로 등록하시겠습니까?')) {
		form.submit();
	}

}

</script>