59 lines
3.4 KiB
Smarty
Executable File
59 lines
3.4 KiB
Smarty
Executable File
<div id="divForm">
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<form id="agregarSucursalForm" name="agregarSucursalForm" method="post">
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<fieldset>
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<div class="formLine" style="width:100%; text-align:left">
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<div style="width:50%;float:left">* Nombre:</div>
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<br />
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<input name="nombre" id="nombre" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">Número de Sucursal:</div>
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<input name="noSuc" id="noSuc" type="text" class="largeInput wide2"/>
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<br />
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<div align="center"><b>.:: Dirección ::.</b></div>
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<div style="width:30%;float:left">Calle:</div>
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<input name="calle" id="calle" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">No. Exterior:</div>
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<input name="noExt" id="noExt" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">No. Interior:</div>
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<input name="noInt" id="noInt" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">Referencia:</div>
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<input name="referencia" id="referencia" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">Colonia:</div>
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<input name="colonia" id="colonia" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">Localidad:</div>
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<input name="localidad" id="localidad" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">Municipio o Delegación:</div>
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<input name="municipio" id="municipio" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">Ciudad:</div>
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<input name="ciudad" id="ciudad" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">Código Postal:</div>
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<input name="cp" id="cp" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">Estado:</div>
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<input name="estado" id="estado" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">Pais:</div>
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<input name="pais" id="pais" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">Teléfono:</div>
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<input name="telefono" id="telefono" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">Google Map:</div>
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<input name="mapa" id="mapa" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">Nombre del Arrendatario:</div>
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<input name="arrendatario" id="arrendatario" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">Monto de la Renta:</div>
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<input name="montoRenta" id="montoRenta" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">Fecha de Vencimiento:</div>
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<input name="fechaVenc" id="fechaVenc" type="text" class="largeInput wide2"/>
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<div style="width:30%;float:left">* % IVA:</div>
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<input name="iva" id="iva" type="text" class="largeInput wide2"/>
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</div>
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<div style="clear:both"></div>
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<hr />
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* Campos requeridos
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<div class="formLine" style="text-align:center; padding-left:300px">
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<a class="button" id="agregarSucursal" name="agregarSucursal"><span>Agregar</span></a>
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</div>
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</fieldset>
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</form>
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</div>
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