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Oct 18th, 2017
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  1. <!DOCTYPE html>
  2. <html lang="en">
  3.  
  4. <script>
  5. function resetForm() {
  6. setTimeout(() => {
  7. document.getElementById("form").reset();
  8. }, 5000);
  9. }
  10. </script>
  11.  
  12. <head>
  13. <title>HolySmartphone</title>
  14. <meta charset="utf-8">
  15. <meta name="viewport" content="width=device-width, initial-scale=1">
  16. <link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css">
  17. <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script>
  18. <script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js"></script>
  19. </head>
  20. <body>
  21.  
  22. <nav class="navbar navbar-default">
  23. <div class="container-fluid">
  24. <div class="navbar-header">
  25. <a class="navbar-brand" href="Home.html">HolyFactuurPhone</a>
  26. </div>
  27. <ul class="nav navbar-nav">
  28. <li><a href="Home.html">Home</a></li>
  29. <li><a href="Factuurmaken.html">Factuur maken</a></li>
  30. <li><a href="Factuurophalen.html">Factuur ophalen</a></li>
  31. </ul>
  32. </div>
  33. </nav>
  34.  
  35. <div class="container">
  36. <h2>Factuur aanmaken</h2>
  37. <p>Vul de gegevens van de klant in:</p>
  38. <form id="form" action="Formulier.php" method="POST" target="_blank">
  39.  
  40. <div class="row">
  41. <div class="col-sm-4"><div class="form-group"><label for="usr">Bedrijf/naam:</label> <input name="bedrijfofnaam" type="text" class="form-control" id="usr"></div> </div>
  42. <div class="col-sm-2"><div class="form-group"><label for="usr">Datum factuur:</label> <input name="datum" type="date" class="form-control" id="usr"></div> </div>
  43. </div>
  44.  
  45. <div class="row">
  46. <div class="col-sm-4"><div class="form-group"><label for="usr">Adres:</label> <input name="adres" type="text" class="form-control" id="usr"></div> </div>
  47. </div>
  48.  
  49. <div class="row">
  50. <div class="col-sm-4"><div class="form-group"><label for="usr">Woonplaats:</label> <input name="woonplaats" type="text" class="form-control" id="usr"></div> </div>
  51. <div class="col-sm-2"><div class="form-group"><label for="usr">Postcode:</label><input name="postcode" type="text" class="form-control" id="usr"></div></div>
  52. </div>
  53.  
  54. <hr><br>
  55.  
  56. <div class="row">
  57. <div class="col-sm-8"><div class="form-group"><label for="usr">Productomschrijving:</label> <input name="productomschrijving" type="text" class="form-control" id="usr"></div> </div>
  58. <div class="col-sm-1"><div class="form-group"><label for="usr">Aantal:</label><input name="aantal" type="text" class="form-control" id="usr"></div></div>
  59. <div class="col-sm-2"><div class="form-group"><label for="usr">Prijs:</label><input name="prijs" type="text" class="form-control" id="usr"></div></div>
  60. </div>
  61.  
  62. <div class="row">
  63. <div class="col-sm-2"><div class="form-group"><label for="usr">Totaal prijs:</label> <input name="totaal" type="text" class="form-control" id="usr"></div> </div>
  64. </div>
  65.  
  66. <br>
  67.  
  68. <div class="row">
  69. <div class="col-sm-2"><div class="form-group"><label for="usr">Serienummer:</label> <input name="serienummer" type="text" class="form-control" id="usr"></div> </div>
  70. </div>
  71.  
  72. <hr><br>
  73.  
  74. <div class="row">
  75. <div class="col-sm-12"><div class="form-group"><label for="usr">Opmerking:</label> <input name="opmerking" type="text" class="form-control" id="usr"></div> </div>
  76. </div>
  77.  
  78. <hr>
  79.  
  80. <div class="checkbox">
  81. <label><input name="creditnota" type="checkbox">Credit Nota</label>
  82. </div>
  83.  
  84. <hr>
  85.  
  86. <label class="checkbox-inline"><input name="voldaan" type="checkbox">Voldaan</label>
  87.  
  88. <hr>
  89.  
  90. <button type="submit" name="Submit" class="btn" onclick="resetForm()">Maak factuur</button>
  91. </form>
  92.  
  93. </div>
  94.  
  95. </body>
  96. </html>
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