<h1 class="page-header pt-3" id="view.users.title" style="font-size: 24px;">Order Entry</h1>
                <div class="col-12 col-md-8">
                    <div class="row">
                        <div class=col-sm>
                            <div id="pnl_message" class="alert alert-danger">
                                <button id="view.login.message.button" type="button" class="btn-close" aria-label="Close"></button>
                                <span id="view.login.message.label"></span>
                            </div>
                        </div>
                    </div>
                    <h4 class="custom-h4 mt-3">Company</h4>
                    <hr class="custom-hr">
                    <div class="row">
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Company Name:</label>
                            <input id="edtcompanyname" type="text" class="form-control" width=150px/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Account Company Name:</label>
                            <input id="edtaccountcompanyname"type="text" class="form-control" width=300px/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">In Quickbooks?:</label>
                            <input id="edtinquickbooks"type="text" class="form-control" width=300px/>
                        </div>
                    </div>
                    <h4 class="custom-h4 mt-3">Staff Fields</h4>
                    <hr class="custom-hr">
                    <div class="row">
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Order Date:</label>
                            <input class="form-control input-sm" id="dtporderdate" type="date">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Proof Date:</label>
                            <input class="form-control input-sm" id="dtpproofdate" type="date">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Ship Date:</label>
                            <input class="form-control input-sm" id="dtpshipdate" type="date">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Ship Via:</label>
                            <input id="edtshipvia" type="text" class="form-control" width=300px/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Quantity:</label>
                            <input id="edtquantity" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Price:</label>
                            <input id="edtprice" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Invoice To:</label>
                            <input id="edtinvoiceto" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Ship To:</label>
                            <input id="edtshipto" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">PO Number:</label>
                            <input id="edtponumber" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Job Name:</label>
                            <input id="edtjobname" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">QuickBooks Item:</label>
                            <input id="edtquickbooksitem" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Art Due:</label>
                            <input class="form-control input-sm" id="dtpartdue" type="date">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Plate Due:</label>
                            <input class="form-control input-sm" id="dtpplatedue" type="date">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Mount Due:</label>
                            <input class="form-control input-sm" id="dtpmountdue" type="date">
                        </div>
                        <div class="col-auto">
                            <label class="form-label mt-2">Art Location:</label>
                            <input id="edtartlocation" class="form-control input-sm" width='50%'/>
                        </div>
                    </div>
                    <h4 class="custom-h4 mt-3">Supplied by Customer</h4>
                    <hr class="custom-hr">
                    <div class="row">
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">B/W Copy:</label>
                            <input type="checkbox" id="cbbwcopy">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Color Copy:</label>
                            <input type="checkbox" id="cbcolorcopy">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Plates:</label>
                            <input type="checkbox" id="cbplates">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Simple Carton:</label>
                            <input type="checkbox" id="cbsimpleCarton">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Dimensional Layout:</label>
                            <input id="edtdimensionallayout" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Disk or CD:</label>
                            <input type="checkbox" id="cbdiskorcd">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Email:</label>
                            <input id="edtemail" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">FTP:</label>
                            <input id="edtftp" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Other:</label>
                            <input class="form-control input-sm" id="edtother"  width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Existing Cutting Die:</label>
                            <input class="form-control input-sm" id="edtexistingcuttingdie"  width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Ref Art Print Card:</label>
                            <input class="form-control input-sm" id="edtrefartprintcard"  width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Ref Art A PDF:</label>
                            <input id="edtrefartapdf" class="form-control input-sm" width='50%'/>
                        </div>
                    </div>
                    <h4 class="custom-h4 mt-3">Layout</h4>
                    <hr class="custom-hr">
                    <div class="row">
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">RSC L:</label>
                            <input id="edtrscl" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">RSC W:</label>
                            <input id="edtrscw" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">RSC D:</label>
                            <input id="edtrscd" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Die Cut No:</label>
                            <input class="form-control input-sm" id="edtdiecutno"  width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Across No:</label>
                            <input class="form-control input-sm" id="edtacrossno"  width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Around No:</label>
                            <input class="form-control input-sm" id="edtaroundno"  width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">CAD File:</label>
                            <input id="edtcadfile" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Excalibur Die:</label>
                            <input type="checkbox" id="cbexcaliburdie">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">RSC Style:</label>
                            <input id="edtrscstyle" class="form-control input-sm" width='50%'/>
                        </div>
                    </div>
                    <h4 class="custom-h4 mt-3">Mounting</h4>
                    <hr class="custom-hr">
                    <div class="row">
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Loose:</label>
                            <input type="checkbox" id="cbloose">
                            <input id="edtloose" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Sticky Bak:</label>
                            <input type="checkbox" id="cbstickybak">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Full Mount:</label>
                            <input type="checkbox" id="cbfullmount">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Strip Mount:</label>
                            <input type="checkbox" id="cbstripmount">
                            <input id="edtstripmount" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Standard Setup:</label>
                            <input id="edtstandardsetup" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Custom Backing:</label>
                            <input id="edtcustombacking" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Custom Adhesive:</label>
                            <input id="edtcustomadhesive" class="form-control input-sm" width='50%'/>
                        </div>
                    </div>
                    <h4 class="custom-h4 mt-3">Colors</h4>
                    <hr class="custom-hr">
                    <div class="row">
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Cylinder Size:</label>
                            <input id="edtcylindersize" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Machine Indent:</label>
                            <input id="edtmachineindent" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Cross Hairs:</label>
                            <input id="edtcrosshairs" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Clemson:</label>
                            <input id="edtclemson" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Colors:</label>
                            <button id="btnaddcolor" class="btn btn-primary btn-sm float-end">+</button>
                            <div id="additionalFields" class="row mt-3"></div>
                        </div>
                    </div>
                    <h4 class="custom-h4 mt-3">Proofing</h4>
                    <hr class="custom-hr">
                    <div class="row">
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Fax:</label>
                            <input id="edtfax" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Fax Attn:</label>
                            <input id="edtfaxattn" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Email:</label>
                            <input id="edtproofemail" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Email Attn:</label>
                            <input id="edtemailattn" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Ship To:</label>
                            <input id="edtproofshipto" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Full Size Panel:</label>
                            <input type="checkbox" id="cbfullsizepanel">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Print Card:</label>
                            <input type="checkbox" id="cbprintcard">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Wide Format:</label>
                            <input type="checkbox" id="cbwideformat">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">PDF File:</label>
                            <input type="checkbox" id="cbpdffile">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Other:</label>
                            <input id="edtproofother" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Art Approved As Is:</label>
                            <input type="checkbox" id="cbartapprovedasis">
                        </div>
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label mt-2">Approved Date:</label>
                            <input class="form-control input-sm" id="dtpapproveddate" type="date">
                        </div>
                    </div>
                    <h4 class="custom-h4 mt-3">Plates</h4>
                    <hr class="custom-hr">
                    <div class="row">
                        <div class="col-auto">
                            <label class='pe-2' style="font-weight: 700; font-size: 15px;" id="lblthickness">Thickness:</label>
                            <input id="edtThickness" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label class='pe-2' style="font-weight: 700; font-size: 15px;" id="lblplatematerial">Plate Material:</label>
                            <input id="edtplatematerial" class="form-control input-sm" width='50%'/>
                        </div>
                        <div class="col-auto">
                            <label class='pe-2' style="font-weight: 700; font-size: 15px;" id="lbljobnumber">Job Number:</label>
                            <input id="edtjobnumber" class="form-control input-sm" width='50%'/>
                        </div>
                    </div>
                    <h4 class="custom-h4 mt-3">General</h4>
                    <hr class="custom-hr">
                    <div class="row">
                        <div class="col-auto">
                            <label for="wdbe_first_name" class="form-label">Special Instructions</label>
                            <input type="text" class="form-control" id="edtspecialinstructions" style="width: 300px;">
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-auto">
                            <button id="btnconfirm" class="btn btn-primary btn-sm float-end">Confirm</button>
                        </div>
                    </div>
                </div>
<script>

</script>