Jason Jordan
63 lines
3.3 KiB
Plaintext
63 lines
3.3 KiB
Plaintext
<div
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class="min-h-full flex items-center justify-center py-12 px-4 sm:px-6 lg:px-8"
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>
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<div class="max-w-md w-full space-y-8">
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<h2 class="mt-10 text-center text-2xl font-extrabold text-[#CD7F32]">
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Add Invited Web Account
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</h2>
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<%= form_with url: create_web_employer_admins_path, method: :post, local: true do |f| %>
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<div class="mt-8 space-y-6">
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Employers
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<div class="rounded-md shadow-sm -space-y-px">
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<div>
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<%= f.label :employer %>
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<%= f.collection_select :employer, @employers, :id, :name, { include_blank: "Select an Employer" }, { class: "custom-select" } %>
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</div>
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<div>
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<%= f.label :email %>
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<%= f.email_field :email, id: "email-address", autofocus: true, autocomplete: "email", placeholder: "Email address", class: "appearance-none rounded-none relative block w-full px-3 py-2 border border-gray-300 placeholder-bluetang text-deepcove rounded-t-md focus:outline-none focus:ring-indigo-500 focus:border-indigo-500 focus:z-10 sm:text-sm" %>
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</div>
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</div>
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<div>
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<%= f.submit "Create Employer Account", { class: "relative w-full flex justify-center py-2 px-4 border-4 font-bold rounded-lg text-platinum" } %>
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</div>
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</div>
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<% end %>
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<%= form_with url: create_web_broker_admins_path, method: :post, local: true do |f| %>
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<div class="mt-8 space-y-6">
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Brokers
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<div class="rounded-md shadow-sm -space-y-px">
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<div>
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<%= f.label :broker %>
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<%= f.collection_select :broker, @brokers, :id, :name, { include_blank: "Select a Broker" }, { class: "custom-select" } %>
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</div>
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<div>
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<%= f.label :email %>
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<%= f.email_field :email, id: "email-address", autofocus: true, autocomplete: "email", placeholder: "Email address", class: "appearance-none rounded-none relative block w-full px-3 py-2 border border-gray-300 placeholder-bluetang text-deepcove rounded-t-md focus:outline-none focus:ring-indigo-500 focus:border-indigo-500 focus:z-10 sm:text-sm" %>
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</div>
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</div>
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<div>
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<%= f.submit "Create Broker Account", { class: "relative w-full flex justify-center py-2 px-4 border-4 font-bold rounded-lg text-platinum" } %>
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</div>
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</div>
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<% end %>
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<%= form_with url: create_web_carrier_admins_path, method: :post, local: true do |f| %>
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<div class="mt-8 space-y-6">
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Carriers
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<div class="rounded-md shadow-sm -space-y-px">
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<div>
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<%= f.label :carrier %>
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<%= f.collection_select :carrier, @carriers, :id, :name, { include_blank: "Select a Broker" }, { class: "custom-select" } %>
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</div>
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<div>
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<%= f.label :email %>
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<%= f.email_field :email, id: "email-address", autofocus: true, autocomplete: "email", placeholder: "Email address", class: "appearance-none rounded-none relative block w-full px-3 py-2 border border-gray-300 placeholder-bluetang text-deepcove rounded-t-md focus:outline-none focus:ring-indigo-500 focus:border-indigo-500 focus:z-10 sm:text-sm" %>
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</div>
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</div>
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<div>
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<%= f.submit "Create Carrier Account", { class: "relative w-full flex justify-center py-2 px-4 border-4 font-bold rounded-lg text-platinum" } %>
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</div>
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</div>
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<% end %>
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</div>
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</div> |