=semantic_form_for [:admin, @customer_rib], :remote => true do |f| 
  .content

    = f.inputs do

      = f.input :bank_name, :label => "Nom de la banque :", :placeholder => "ex : CA Centre Est"
      = f.input :bank_city, :label => "Ville de la banque :", :placeholder => "ex : GRENOBLE"
      = f.input :name, :label => "Intitulé du compte :", :placeholder => "ex : SARL DUPONT où M SERGE DUPONT"
      = f.input :address, :label => "Adresse du titulaire du compte", :placeholder => "ex : 13 rue de les Lilas"
      = f.input :address2, :label => "Complément d'adresse", :placeholder => ""
      = f.input :cp, :label => "Code postal", :placeholder => ""
      = f.input :city, :label => "Ville", :placeholder => ""

      = f.input :country, :label => "Pays du compte", :as => :select, :include_blank => false, :collection => Customer::COUNTRY.sort
      = f.input :iban, :label => "IBAN (sans espaces)", :placeholder => "ex : FR7644444444444444444444444"
      = f.input :bic, :label => "Code BIC / swift", :placeholder => "ex : AGRIFRPP878"
      =f.input :tva, :label => "Vous êtes un professionnel soumis à la TVA ?"
      =f.input :tva_number, :label => "Numéro de TVA intracom. :"
      =f.input :scan_file, :label => "Fichier du rib lisible (scanné ou version numérique au format pdf, jpg où png) :"
    
      =f.submit "Sauvegarder", :class => "btn btn-primary"
  
  .actions= f.submit "Sauvegarder", :class => "btn btn-primary"