<?php
echo $this->Form->create('Contact', array('class' => 'admin form-horizontal'));
echo $this->Form->input('id');
?>
<div class="form-group">
	<?php
	echo $this->Form->label('name',
        sprintf('%s <b class="form-required">*</b>', __('ชื่อผู้ประสานงาน')),
        array('class' => 'col-md-4 control-label text-right'));
    echo $this->Form->input('name', array(
            'label' => false,
            'class' => 'form-control required',
            'div' => 'col-md-4'
        ));
	?>
</div><!-- .form-group -->
<div class="form-group">
<?php
    echo $this->Form->label('address',
        sprintf('%s <b class="form-required">*</b>', __('ที่อยู่')),
        array('class' => 'col-md-4 control-label text-right'));
    echo $this->Form->input('address', array(
            'label' => false,
            'class' => 'form-control required',
            'div' => 'col-md-4'
        ));
?>
</div>
<div class="form-group">
<?php
    echo $this->Form->label('province_id',
        sprintf('%s <b class="form-required">*</b>', __('จังหวัด')),
        array('class' => 'col-md-4 control-label text-right'));
    echo $this->Form->input('province_id', array(
            'options' => $provinces,
            'label' => false,
            'class' => 'form-control select-province-id required',
            'div' => 'col-md-4',
            'value' => $province_id,
            'rel' => 'provinces'
        ));
?>
</div>
<div class="form-group">
<?php
    echo $this->Form->label('district_id',
        sprintf('%s <b class="form-required">*</b>', __('อำเภอ / เขต')),
        array('class' => 'col-md-4 control-label text-right'));
    echo $this->Form->input('district_id', array(
            'options' => $districts,
            'label' => false,
            'class' => 'form-control required',
            'div' => 'col-md-4',
            'rel' => 'provinces'
        ));
?>
</div>
<div class="form-group">
<?php
    echo $this->Form->label('postcode',
        sprintf('%s <b class="form-required">*</b>', __('รหัสไปรษณีย์')),
        array('class' => 'col-md-4 control-label text-right'));
    echo $this->Form->input('postcode', array(
            'label' => false,
            'class' => 'form-control required',
            'div' => 'col-md-4'
        ));
?>
</div>
<div class="form-group">
<?php
    echo $this->Form->label('phone',
        sprintf('%s <b class="form-required">*</b>', __('หมายเลขโทรศัพท์')),
        array('class' => 'col-md-4 control-label text-right'));
    echo $this->Form->input('phone', array(
            'label' => false,
            'class' => 'form-control required',
            'div' => 'col-md-4'
        ));
?>
</div>
<div class="form-group">
<?php
    echo $this->Form->label('fax',
        sprintf('%s <b class="form-required">*</b>', __('หมายเลขโทรสาร')),
        array('class' => 'col-md-4 control-label text-right'));
    echo $this->Form->input('fax', array(
            'label' => false,
            'class' => 'form-control required',
            'div' => 'col-md-4'
        ));
?>
</div>
<div class="form-group">
<?php
    echo $this->Form->label('email',
        sprintf('%s <b class="form-required">*</b>', __('อีเมล์')),
        array('class' => 'col-md-4 control-label text-right'));
    echo $this->Form->input('email', array(
            'label' => false,
            'class' => 'form-control required',
            'div' => 'col-md-4'
        ));
?>
</div>
<div class="form-group">
<?php
    echo $this->Form->label('note',
        sprintf('%s <b class="form-required">*</b>', __('หมายเหตุ')),
        array('class' => 'col-md-4 control-label text-right'));
    echo $this->Form->input('note', array(
            'label' => false,
            'class' => 'form-control required',
            'div' => 'col-md-4'
        ));
?>
</div>

<div class="form-group">
<?php
    echo $this->Form->label('organization_id', __('เครือข่ายองค์กร'), array('class' => 'col-md-4 control-label text-right'));
    echo $this->Form->input('organization_id', array(
            'options' => $organizations,
            'label' => false,
            'class' => 'form-control',
            'div' => 'col-md-4'
        ));
?>
</div>
<hr>
<div class="form-group">
    <?php
        echo $this->Form->end(array(
                'label' => __('แก้ไขข้อมูล'),
                'class' => 'btn btn-success',
                'div' => 'col-md-offset-4 col-md-4'
        ));

    ?>
</div>