<div class="card pt-5">
<div class="card-header">
<h4 class="text-center">Demande de cotation</h4>
</div>
<div class="card-body container">
{{ include('admin/partials/flash.html.twig') }}
<div class="basic-form">
<div class="row">
<div class="col-xl-12 col-xxl-12 ">
{{ form_start(form,{'attr': {'class': 'form-horizontal'}}) }}
<div class="form-group row">
<label class="col-sm-2 col-form-label">Reference:</label>
<div class="col-sm-10">
{{ form_widget(form.number,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
{# <label class="col-sm-2 col-form-label">Agent</label>#}
<div class="col-sm-10">
{{ form_widget(form.user,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
<label class="col-sm-2 col-form-label">Dénomination:</label>
<div class="col-sm-10">
{{ form_widget(form.denomination,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
<label class="col-sm-2 col-form-label">R.C/SIREN :</label>
<div class="col-sm-10">
{{ form_widget(form.rcsiren,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
<label class="col-sm-2 col-form-label">Téléphone:</label>
<div class="col-sm-10">
{{ form_widget(form.telephone,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
<label class="col-sm-2 col-form-label">Representant légal :</label>
<div class="col-sm-10">
{{ form_widget(form.representantlegal,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
<label class="col-sm-2 col-form-label">Pays :</label>
<div class="col-sm-10">
{{ form_widget(form.pays,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
<label class="col-sm-2 col-form-label">Courriel :</label>
<div class="col-sm-10">
{{ form_widget(form.courriel,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
<label class="col-sm-2 col-form-label">Produit :</label>
<div class="col-sm-4">
{{ form_widget(form.product,{'attr': {'class': 'form-control'}}) }}
</div>
<label class="col-sm-2 col-form-label">Sous-jacent :</label>
<div class="col-sm-4">
{{ form_widget(form.sousjacent,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
<label class="col-sm-2 col-form-label">Origine :</label>
<div class="col-sm-4">
{{ form_widget(form.origine,{'attr': {'class': 'form-control'}}) }}
</div>
<label class="col-sm-2 col-form-label">Prix cible:</label>
<div class="col-sm-4">
{{ form_widget(form.prixcible,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
<label class="col-sm-2 col-form-label">Emballage:</label>
<div class="col-sm-4">
{{ form_widget(form.emballage,{'attr': {'class': 'form-control'}}) }}
</div>
<label class="col-sm-2 col-form-label">Conditionnement:</label>
<div class="col-sm-4">
{{ form_widget(form.conditionnement,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
<label class="col-sm-2 col-form-label">Mode de payement :</label>
<div class="col-sm-10">
{{ form_widget(form.modedepayement,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
<label class="col-sm-2 col-form-label">Condition :</label>
<div class="col-sm-10">
{{ form_widget(form.condition,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
<label class="col-sm-2 col-form-label">Délais et Fréquence de livraison :</label>
<div class="col-sm-10">
{{ form_widget(form.delai,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
<label class="col-sm-2 col-form-label">Destination :</label>
<div class="col-sm-10">
{{ form_widget(form.destination,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
<label class="col-sm-2 col-form-label">Exigences et / ou spécifications techniques :</label>
<div class="col-sm-10">
{{ form_widget(form.exigence,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
<label class="col-sm-4 col-form-label"></label>
<div class="col-sm-8">
{{ form_widget(form.status,{'attr': {'class': 'form-control'}}) }}
</div>
</div>
<div class="form-group row">
<div class="col-sm-12">
<button class="btn btn-success pull-right" >{{ button_label|default('Envoyer') }}</button>
</div>
</div>
{{ form_end(form) }}
</div>
</div>
</div>
</div>
</div>