{% extends "AdmingeneratorGeneratorBundle::base_admin_assetic_less.html.twig" %}
{% block title %}
Sélectionner les informations  et le type de relance
{% endblock %}
{% block body %}
<div class="row-fluid">
<form action="{{path("alldevs_IfocopBundle_PrisesStandalone_relancer")}}" target="_blank">
<input type="hidden" name="pk" value="{{Prises.id}}">
<div class="row-fluid">
        <div class="well well-small">
            <label class="radio">
                <input type="radio" value="0" name="option"  checked /> Utiliser l'adresse de l'Organisme de prise en charge
            </label>
        </div>
    <div class="span12">        
           {{ Prises.idOrganismes.lib }}<br />
           {{ Prises.idOrganismes.adrrue }} - 
           {{ Prises.idOrganismes.adrville }}
    </div>
    <div class="span12"></div>
</div>
{% if Prises.idStagiaires!=NULL %}
<div class="row-fluid">
    <div class="well well-small">
        <label class="radio">
            <input type="radio" value="1" name="option"/>
            Utiliser l'adresse du Stagiaire
        </label>
    </div>
        
    <div class="span12"> 
           {{ Prises.idStagiaires.nom }} {{ Prises.idStagiaires.prenom }}<br /> 
           {{ Prises.idStagiaires.adrrue }} - 
           {{ Prises.idStagiaires.adrville }}

    </div>
    <div class="span12"></div>
</div>
{% endif %}
<div class="row-fluid">
    <div class="well well-small">
        <label class="radio">
            <input type="radio" value="2" name="option" />
            Nouvelle adresse personnalisée
        </label>
    </div>
    <div class="row-fluid">    
            <div class="control-group form_field field_text field_destinataire">
                <div class="control-group destinatiare">
                    <label>Destinataire</label>
                    <div class="controls">
                        <input type="text" name="destinataire">
                    </div>
                </div>
            </div>
            <div class="control-group form_field field_text field_adrrue">
                <div class="control-group adrrue">
                    <label>Complement d'information</label>
                    <div class="controls">
                        <input type="text" name="adrcomplement">
                    </div>
                </div>
            </div>
    </div>
    <div class="row-fluid">
            <div class="control-group form_field field_text field_adrrue">
                <div class="control-group adrrue">
                    <label>Nom de la rue</label>
                    <div class="controls">
                        <input type="text" name="adrrue">
                    </div>
                </div>
            </div>
            <div class="control-group form_field field_text field_dadrcp">
                <div class="control-group destinatiare">
                    <label>Code Postal</label>
                    <div class="controls">
                        <input type="text" name="adrcp">
                    </div>
                </div>
            </div>
            <div class="control-group form_field field_text field_adrville">
                <div class="control-group adrville">
                    <label>Ville</label>
                    <div class="controls">
                        <input type="text" name="adrville">
                    </div>
                </div>
            </div>
    </div>
    <div class="row-fluid">
            <div class="control-group form_field field_text field_adrville">
                <div class="control-group adrville">
                    <label>Boîte Postale</label>
                    <div class="controls">
                        <input type="text" name="adrbp">
                    </div>
                </div>
            </div>
    </div>   
</div>
<div class="row-fluid">
    <div class="well well-small">
        <label class="montantrelance">
            Montant de la relance <input type="text" value="{{montant}}" name="montantrelance" id="montant_relance" /> €uros
        </label>
    </div>
    <div class="well well-small">
        <label class="radio inline">
            <input type="radio" value="1" name="typerelance" checked /> 1ere Relance
        </label>
        <label class="radio inline">
            <input type="radio" value="2" name="typerelance" /> 2ième Relance
        </label>
    </div>
    <div class="span12"></div>
</div>
<div class="form-actions">
  <button type="button" class="btn" onclick='document.location.href="{{ path('alldevs_IfocopBundle_PrisesStandalone_list') }}";'><i class="icon-backward"></i> Retour</button>
  <button type="submit" class="btn btn-primary" target="_blank" id="bouton_impressions">Imprimez la lettre de relance &nbsp;<i class="icon-white icon-print"></i></button>
</div>
</form>
</div>
<script>
$(document).ready(function(){
    $("form").submit( function(){
        if ($("#montant_relance").val()=="" || $("#montant_relance").val()===0) {
          alert("Le montant doit être indiqué");
          return false;
        }else{
            return true;
        }
    });
});  
</script>
{% endblock %}