setup-test-account.component.html
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<div class="container-fluid">
<!-- navigation -->
<nav class="navbar navbar-inverse navbar-fixed-top">
<div class="container-fluid">
<site-menu></site-menu>
</div>
</nav>
<!-- navigation -->
<div class="clearfix"></div>
<!-- main-heading -->
<div class="row">
<div class="col-sm-12 pageHeading">
<h4>Setup Test Account</h4>
</div>
<div class="col-sm-12">
<div class="container-fluid main-full" id="">
<div class="row">
<div class="well marginBtm12" id="wrapper">
<form [formGroup]="testAccountForm" (ngSubmit)="submitForm(testAccountForm.value)" novalidate>
<div class="row">
<div class="col-lg-4 col-sm-4">
<div class="row">
<div class="col-sm-12">
<div class="form-group marginTop10">
<label for="accountNumber" class="col-sm-12 col-lg-6 control-label text-right-lg paddTop7 padd-left0">Account Number <span class="red">*</span> : </label>
<div class="col-sm-12 col-lg-6 padd-left0 padd-right0">
<input type="text" class="form-control input-sm" id="accountNumber" formControlName="accountNumber" placeholder="">
</div>
<div *ngIf="formErrors.accountNumber" class="alert alert-danger">
{{ formErrors.accountNumber }}
</div>
</div>
</div>
<div class="col-sm-12">
<div class="form-group marginTop10">
<label for="licenseeFirstName" class="col-sm-12 col-lg-6 control-label text-right-lg paddTop7 padd-left0">Licensee First Name <span class="red">*</span> :</label>
<div class="col-sm-12 col-lg-6 padd-left0 padd-right0">
<input type="text" class="form-control input-sm" id="licenseeFirstName" formControlName="licenseeFirstName" placeholder="">
</div>
<div *ngIf="formErrors.licenseeFirstName" class="alert alert-danger">
{{ formErrors.licenseeFirstName }}
</div>
</div>
</div>
<div class="col-sm-12">
<div class="form-group marginTop10">
<label for="licenseeLastName" class="col-sm-12 col-lg-6 control-label text-right-lg paddTop7 padd-left0">Licensee Last Name <span class="red">*</span> :</label>
<div class="col-sm-12 col-lg-6 padd-left0 padd-right0">
<input type="text" class="form-control input-sm" id="licenseeLastName" formControlName="licenseeLastName" placeholder="">
</div>
<div *ngIf="formErrors.licenseeLastName" class="alert alert-danger">
{{ formErrors.licenseeLastName }}
</div>
</div>
</div>
<div class="col-sm-12">
<div class="form-group marginTop10">
<label for="username" class="col-sm-12 col-lg-6 control-label text-right-lg paddTop7 padd-left0">User Name <span class="red">*</span> :</label>
<div class="col-sm-12 col-lg-6 padd-left0 padd-right0">
<input type="text" class="form-control input-sm" id="username" formControlName="username" placeholder="">
<span class="help-block">(Minimum 8 characters)</span>
</div>
<div *ngIf="formErrors.username" class="alert alert-danger">
{{ formErrors.username }}
</div>
</div>
</div>
<div class="col-sm-12">
<div class="form-group marginTop10">
<label for="password" class="col-sm-12 col-lg-6 control-label text-right-lg paddTop7 padd-left0">
Password <span class="red">*</span> :
</label>
<div class="col-sm-12 col-lg-6 padd-left0 padd-right0">
<input type="password" class="form-control input-sm" id="password" formControlName="password" placeholder="">
<span class="help-block">(Minimum 8 characters)</span>
</div>
<div *ngIf="formErrors.password" class="alert alert-danger">
{{ formErrors.password }}
</div>
</div>
</div>
<div class="col-sm-12">
<div class="form-group marginTop10">
<label for="emailId" class="col-sm-12 col-lg-6 control-label text-right-lg paddTop7 padd-left0">Email ID <span class="red">*</span> : </label>
<div class="col-sm-12 col-lg-6 padd-left0 padd-right0">
<input type="email" class="form-control input-sm" id="emailId" formControlName="emailId" placeholder="">
</div>
<div *ngIf="formErrors.emailId" class="alert alert-danger">
{{ formErrors.emailId }}
</div>
</div>
</div>
</div>
</div>
<div class="col-lg-4 col-sm-4">
<div class="row">
<div class="col-sm-12">
<div class="form-group marginTop10">
<label for="accountType" class="col-sm-12 col-lg-6 control-label text-right-lg paddTop7 padd-left0">Account Type <span class="red">*</span> :</label>
</div>
<div class="col-sm-12 col-lg-6 padd-left0 padd-right0">
<select class="form-control input-sm" id="accountType" formControlName="accountType">
<option selected>Select</option>
<option>High School</option>
<option>Community College</option>
<option>Career College</option>
<option>Higher Education</option>
</select>
</div>
<div *ngIf="formErrors.accountType" class="alert alert-danger">
{{ formErrors.accountType }}
</div>
</div>
<div class="col-sm-12">
<div class="form-group marginTop10">
<label for="institutionName" class="col-sm-12 col-lg-6 control-label text-right-lg paddTop7 padd-left0" title="Institution Name">Edition <span class="red">*</span> : </label>
<div class="col-sm-12 col-lg-6 padd-left0 padd-right0">
<select class="form-control input-sm" id="institutionName" formControlName="institutionName">
<option selected>Higher Education Instructor</option>
<option>High School Instructor</option>
<option>Higher Education Student</option>
<option>Higher School Student</option>
<option>Public Library</option>
</select>
</div>
<div *ngIf="formErrors.institutionName" class="alert alert-danger">
{{ formErrors.institutionName }}
</div>
</div>
</div>
<div class="col-sm-12">
<div class="form-group marginTop10">
<label for="subscriptionStartDate" class="col-sm-12 col-lg-6 control-label text-right-lg paddTop7 padd-left0">Subscription Start Date <span class="red">*</span> :</label>
<div class="col-sm-12 col-lg-6 padd-left0 padd-right0">
<div id="datetimepicker1" class="input-group input-group-sm input-append date">
<input type="text" class="form-control" id="subscriptionStartDate" formControlName="subscriptionStartDate">
<span class="input-group-btn add-on">
<button class="btn btn-default" type="button"><i class="fa fa-calendar"></i></button>
</span>
</div>
<div *ngIf="formErrors.subscriptionStartDate" class="alert alert-danger">
{{ formErrors.subscriptionStartDate }}
</div>
</div>
</div>
</div>
<div class="col-sm-12">
<div class="form-group marginTop10">
<label for="subscriptionEndDate" class="col-sm-12 col-lg-6 control-label text-right-lg paddTop7 padd-left0">Subscription End Date <span class="red">*</span> :</label>
<div class="col-sm-12 col-lg-6 padd-left0 padd-right0">
<div id="datetimepicker2" class="input-group input-group-sm input-append date">
<input type="text" class="form-control" id="subscriptionEndDate" formControlName="subscriptionEndDate">
<span class="input-group-btn add-on">
<button class="btn btn-default" type="button"><i class="fa fa-calendar"></i></button>
</span>
</div>
<div *ngIf="formErrors.subscriptionEndDate" class="alert alert-danger">
{{ formErrors.subscriptionEndDate }}
</div>
</div>
</div>
</div>
<div class="col-sm-12">
<div class="form-group marginTop10">
<label for="address" class="col-sm-12 col-lg-6 control-label text-right-lg paddTop7 padd-left0">Address <span class="red">*</span> : </label>
<div class="col-sm-12 col-lg-6 padd-left0 padd-right0">
<input type="text" class="form-control input-sm" id="address" formControlName="address" placeholder="">
</div>
<div *ngIf="formErrors.address" class="alert alert-danger">
{{ formErrors.address }}
</div>
</div>
</div>
</div>
</div>
<div class="col-lg-4 col-sm-4">
<div class="row">
<div class="col-sm-12">
<div class="form-group marginTop10">
<label for="city" class="col-sm-12 col-lg-6 control-label text-right-lg paddTop7 padd-left0">City <span class="red">*</span> : </label>
<div class="col-sm-12 col-lg-6 padd-left0 padd-right0">
<input type="text" class="form-control input-sm" id="city" formControlName="city" placeholder="">
</div>
<div *ngIf="formErrors.city" class="alert alert-danger">
{{ formErrors.city }}
</div>
</div>
</div>
<div class="col-sm-12">
<div class="form-group marginTop10">
<label for="zip" class="col-sm-12 col-lg-6 control-label text-right-lg paddTop7 padd-left0">Zip <span class="red">*</span> : </label>
<div class="col-sm-12 col-lg-6 padd-left0 padd-right0">
<input type="text" class="form-control input-sm" id="zip" formControlName="zip" placeholder="">
</div>
<div *ngIf="formErrors.zip" class="alert alert-danger">
{{ formErrors.zip }}
</div>
</div>
</div>
<div class="col-sm-12">
<div class="form-group marginTop10">
<label for="state" class="col-sm-12 col-lg-6 control-label text-right-lg paddTop7 padd-left0">State(only U.S.) <span class="red">*</span> :</label>
</div>
<div class="col-sm-12 col-lg-6 padd-left0 padd-right0">
<select class="form-control input-sm " id="state" formControlName="state">
<option selected>Select</option>
<option>Alabama</option>
<option>Alaska</option>
<option>Arizona</option>
<option>Arkansas</option>
<option>California</option>
<option>Colorado</option>
<option>Connecticut</option>
<option>Delaware</option>
<option>Florida</option>
<option>Georgia</option>
<option>Hawaii</option>
<option>Idaho</option>
<option>Illinois</option>
<option>Indiana</option>
<option>Lowa</option>
<option>Kansas</option>
<option>Kentucky</option>
<option>Louisiana</option>
<option>Maine</option>
<option>Maryland</option>
<option>Massachusetts</option>
<option>Michigan</option>
<option>Minnesota</option>
<option>Mississippi</option>
<option>Missouri</option>
<option>Montana</option>
<option>Nebraska</option>
<option>Nevada</option>
<option>New Hamphire</option>
<option>New Jersey</option>
<option>New Maxico</option>
<option>New York</option>
<option>North Carolina</option>
<option>North Dakota</option>
<option>Ohio</option>
<option>Oklahoma</option>
<option>Oregon</option>
<option>Pennsylvania</option>
<option>Rhode Island</option>
<option>South Carolina</option>
<option>South Dakota</option>
<option>Tennessee</option>
<option>Texas</option>
<option>Utah</option>
<option>Vermont</option>
<option>Virginia</option>
<option>Washington</option>
<option>West Virginia</option>
<option>Wisconsin</option>
<option>Wyoming</option>
<option>Other</option>
</select>
</div>
<div *ngIf="formErrors.state" class="alert alert-danger">
{{ formErrors.state }}
</div>
</div>
<div class="col-sm-12">
<div class="form-group marginTop10">
<label for="country" class="col-sm-12 col-lg-6 control-label text-right-lg paddTop7 padd-left0">Country <span class="red">*</span> :</label>
</div>
<div class="col-sm-12 col-lg-6 padd-left0 padd-right0">
<select class="form-control input-sm " id="country" formControlName="country">
<option selected>Select</option>
<option value="United States">United States</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antartica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegowina">Bosnia and Herzegowina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo">Congo, the Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cota D'Ivoire">Cote d'Ivoire</option>
<option value="Croatia">Croatia (Hrvatska)</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">Falkland Islands (Malvinas)</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="France Metropolitan">France, Metropolitan</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard and McDonald Islands">Heard and Mc Donald Islands</option>
<option value="Holy See">Holy See (Vatican City State)</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran (Islamic Republic of)</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Democratic People's Republic of Korea">Korea, Democratic People's Republic of</option>
<option value="Korea">Korea, Republic of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia, The Former Yugoslav Republic of</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia, Federated States of</option>
<option value="Moldova">Moldova, Republic of</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russia">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint LUCIA">Saint LUCIA</option>
<option value="Saint Vincent">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia (Slovak Republic)</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia">South Georgia and the South Sandwich Islands</option>
<option value="Span">Spain</option>
<option value="SriLanka">Sri Lanka</option>
<option value="St. Helena">St. Helena</option>
<option value="St. Pierre and Miguelon">St. Pierre and Miquelon</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard">Svalbard and Jan Mayen Islands</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syrian Arab Republic</option>
<option value="Taiwan">Taiwan, Province of China</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania, United Republic of</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Viet Nam</option>
<option value="Virgin Islands (British)">Virgin Islands (British)</option>
<option value="Virgin Islands (U.S)">Virgin Islands (U.S.)</option>
<option value="Wallis and Futana Islands">Wallis and Futuna Islands</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Yugoslavia">Yugoslavia</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
</div>
<div *ngIf="formErrors.country" class="alert alert-danger">
{{ formErrors.country }}
</div>
</div>
<div class="col-sm-12">
<div class="form-group marginTop10">
<label for="phone" class="col-sm-12 col-lg-6 control-label text-right-lg paddTop7 padd-left0">Phone <span class="red">*</span> :</label>
</div>
<div class="col-sm-12 col-lg-6 padd-left0 padd-right0">
<input class="form-control input-sm" id="phone" placeholder="" formControlName="phone">
<span class="help-block">(example 404-555-1212 or (404) 555-1212)</span>
</div>
<div *ngIf="formErrors.phone" class="alert alert-danger">
{{ formErrors.phone }}
</div>
</div>
</div>
</div>
</div>
<!--submit -->
<div class="row">
<div class="col-sm-12 marginTop20 text-center">
<button class="btn btn-primary btn-sm"><i class="fa fa-check"></i> Submit</button>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
<!-- main-heading -->
<!--container-->
<!--container-->
</div>
</div>