1 <div class="modal fade" id="request-information-modal" tabindex="-1" role="dialog" aria-labelledby="request-information-modal-label" aria-hidden="true">
2 <div class="modal-dialog">
3 <div class="modal-content">
4 <div class="modal-header">
5 <button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button>
6 <h4 class="modal-title" id="request-information-modal-label">request-information</h4>
8 <div class="modal-body">
9 <form id="request_information_form" role="form" action="" method="POST">
10 <div class="form-group">
11 <label for="notification_url">notification-url</label>
12 <input type="text" class="form-control" name="notification_url" id="notification_url">
14 <div class="form-group">
15 <label for="source">source</label>
16 <input type="text" class="form-control" name="source" id="source">
18 <div class="form-group">
19 <label for="order_number">order-number</label>
20 <input type="text" class="form-control" name="order_number" id="order_number">
22 <div class="form-group">
23 <label for="request_id">request-id</label>
24 <input type="text" class="form-control" name="request_id" id="request_id">
26 <div class="form-group">
27 <label for="order_version">order-version</label>
28 <input type="text" class="form-control" name="order_version" id="order_version">
30 <div class="form-group">
31 <label for="request_action">request-action</label>
32 <input type="text" class="form-control" name="request_action" id="request_action">
34 <div class="form-group">
35 <label for="request_sub_action">request-sub-action</label>
36 <input type="text" class="form-control" name="request_sub_action" id="request_sub_action">
40 <div class="form-group">
41 <input type="hidden" name="uf_action" id="uf_action">
42 <button type="button" class="btn btn-primary" onclick="submit(this.form);">Submit</button>
43 <button type="button" class="btn btn-default" data-dismiss="modal">Cancel</button>
52 <script type="text/javascript">
53 function submit(form){
54 $('#service-status-modal').modal('hide');
55 form.action = form.uf_action.value;