


=semantic_form_for [:admin, @customer] do |f|
  .content


    =f.inputs do
      
      .row.qi_cancel_margins
        .col-sm-6
          =f.input :domains, :label => "Domaine : ", :collection => Domain.all, :as => :check_boxes
        .col-sm-6
          
          <input type="hidden" name="image_file[reseaux_ids][]" id="image_file_tags_none" value="">
    
          %ul#reseaux_ids_form=render :partial => "admin/reseauxes/reseaux_form", :collection => Reseaux.where(:parent_id => nil).order(:name), :locals => {:form => f}
          
          
          

      =f.input :organisation, :label => "Société : "

      =f.input :name, :label => "Nom : "
      =f.input :firstname, :label => "Prénom : "
      =f.input :email, :label => "Email : "
      =f.input :phone, :label => "Tél : "
      =f.input :password, :label => "Mot de passe : "

      =#f.hidden_field :step2
      =f.input :tva_number, :label => "Numéro de TVA intra. :"
      =f.input :siret, :label => "Numéro de siret :"
      =f.input :capital, :label => "Capital :"
      =f.input :role_signataire, :label => "Fonction du signataire :"
      = f.input :address, :label => "Adresse"
      = f.input :address2, :label => "Adresse (suite)"
      = f.input :cp, :label => "Code postal"
      = f.input :city, :label => "Ville"


      =#f.hidden_field :step3

      =f.input :need_1, :label => "1er besoin : ",:as => :select, :collection => [ "Materiel professionnel", "Matériel informatique", "Achat de véhicules", "Energie"]
      =f.input :need_2, :label => "2ième besoin : ",:as => :select, :collection => [ "Materiel professionnel", "Matériel informatique", "Achat de véhicules", "Energie"]
      =f.input :need_3,  :label => "3ième besoin : ",  :placeholder => "Autre, précisez ",:rows => 5, :input_html => {:style => "height:100px;"}

      =f.input :particulars_text,  :label => "En-tête contrats : ",:rows => 5, :input_html => {:style => "height:100px;"}




      =f.input :newsgroups, :label => "Newsletters :", :collection => Newsgroup.all, :as => :check_boxes

      =f.input :referent, :label => "Possibilité d'être référent ?"
      =f.input :chef_reseau, :label => "Possibilité d'être chef réseau ?"

  .actions= f.submit "Sauvegarder", :class => "btn btn-primary"
