{% extends "layout/base.html.twig" %}


{% block content %}
<div class="right_col" role="main">
    <div class="">
        <div class="page-title">
            <div class="title_left">
                <h3>Contact Info</h3>
            </div>
        </div>
        <form action="{{ path('fos_user_profile_edit') }}" method="post"  class="fos_user_profile_edit" >
    <div class="form-group">

        <div class="col-sm-10">
            {{ form_row(form.company,{ 'attr': {'class': 'form-control', 'id': 'txtFName' } }) }}
        </div>
    </div>

<br><br>

    <div class="form-group">

        <div class="col-sm-10">
            {{ form_row(form.licenceNumber,{ 'attr': {'class': 'form-control', 'id': 'txtFName' } }) }}
        </div>
    </div>
    <br><br>
    <div class="form-group">

        <div class="col-sm-10">
            {{ form_row(form.firstOwnerName,{ 'attr': {'class': 'form-control', 'id': 'txtFName' } }) }}
        </div>
    </div>


    <br><br>
    <div class="form-group">

        <div class="col-sm-10">
            {{ form_row(form.otherOwnerName,{ 'attr': {'class': 'form-control', 'id': 'txtCode' } })}}
        </div>
    </div>
    <br><br>
    <div class="form-group">

        <div class="col-sm-10">
            {{ form_row(form.phoneNumber,{ 'attr': {'class': 'form-control', 'id': 'txtCode' } }) }}
        </div>
    </div>




    <br><br>
    <div class="form-group">

        <div class="col-sm-10">
            {{ form_row(form.officeNumber,{ 'attr': {'class': 'form-control', 'id': 'txtEmail' } }) }}
        </div>
    </div>
    <br><br>
    <div class="form-group">

        <div class="col-sm-10">
            {{ form_row(form.city,{ 'attr': {'class': 'form-control', 'id': 'txtFName' } }) }}
        </div>
    </div>

    <br><br>
    <div class="form-group">

        <div class="col-sm-10">
            {{ form_row(form.province,{ 'attr': {'class': 'form-control', 'id': 'txtFName' } }) }}
        </div>
    </div>
    <br><br>
    <div class="form-group">

        <div class="col-sm-10">
            {{ form_row(form.zipcode,{ 'attr': {'class': 'form-control', 'id': 'txtCode' } }) }}
        </div>
    </div>

    <br><br>
  


    <br><br>


    {{ form_row(form._token) }}
    <div class="text-right" style="padding-top:87px; padding-bottom:10px; padding-right: 15px">

        <button type="submit" class="btn btn-outline btn-success">Validate</button>
    </div>
</form>


    </div>
</div>
{% endblock %}

{% endblock %}