<div class="modal fade" id="inpostPickupPointModal" tabindex="-1" role="dialog">
    <div class="modal-dialog modal-lg" role="document">
        <div class="modal-content">
            <div class="modal-header">
                <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button>
                <h4 class="modal-title" id="inpostPickupPointTitle">Add pickup point</h4>
            </div>
            <div class="modal-body">
                <form action="#" method="post" enctype="multipart/form-data" id="form-pickup-point" class="form-horizontal">
                    <div class="form-group required">
                        <label for="input-pickupName" class="col-sm-2 control-label">Name</label>
                        <div class="col-sm-10">
                            <input type="text" class="form-control" name="pickupName" id="pickupName" value="{{ name ? name : '' }}" />
                        </div>
                    </div>
                    <div class="form-group">
                        <label for="input-pickupOfficeHours" class="col-sm-2 control-label">Hours of operation</label>
                        <div class="col-sm-10">
                            <input type="text" class="form-control" name="pickupOfficeHours" id="pickupOfficeHours" value="{{ hours_operation ? hours_operation : '' }}" />
                        </div>
                    </div>
                    <div class="form-group">
                        <label for="input-pickupEmail" class="col-sm-2 control-label">Email</label>
                        <div class="col-sm-10">
                            <input type="text" class="form-control" name="pickupEmail" id="pickupEmail" value="{{ email ? email : '' }}" />
                        </div>
                    </div>
                    <div class="form-group required">
                        <label for="input-pickupTelephone" class="col-sm-2 control-label">Phone</label>
                        <div class="col-sm-10">
                            <input type="text" class="form-control" name="pickupTelephone" id="pickupTelephone" value="{{ phone ? phone : '' }}" />
                        </div>
                    </div>
                    <div class="form-group required">
                        <label for="input-pickupStreet" class="col-sm-2 control-label">Street</label>
                        <div class="col-sm-10">
                            <input type="text" class="form-control" name="pickupStreet" id="pickupStreet" value="{{ street ? street : '' }}" />
                        </div>
                    </div>
                    <div class="form-group required">
                        <label for="input-pickupHousenumber" class="col-sm-2 control-label">House number</label>
                        <div class="col-sm-10">
                            <input type="text" class="form-control" name="pickupHousenumber" id="pickupHousenumber" value="{{ housenumber ? housenumber : '' }}" />
                        </div>
                    </div>
                    <div class="form-group required">
                        <label for="input-pickupPostcode" class="col-sm-2 control-label">Postcode</label>
                        <div class="col-sm-10">
                            <input type="text" class="form-control" name="pickupPostcode" id="pickupPostcode" value="{{ postcode ? postcode : '' }}" />
                        </div>
                    </div>
                    <div class="form-group required">
                        <label for="input-pickupCity" class="col-sm-2 control-label">City</label>
                        <div class="col-sm-10">
                            <input type="text" class="form-control" name="pickupCity" id="pickupCity" value="{{ city ? city : '' }}" />
                        </div>
                    </div>
                    <input type="hidden" name="pickupId" id="pickupId" value="{{ id_pickup_point ? id_pickup_point : 0 }}" />
                </form>
            </div>
            <div class="modal-footer">
                <button type="button" class="btn btn-default" id="button-close-pickup-points-modal">Close</button>
                <button type="button" class="btn btn-primary" id="button-submit-pickup-points-form">Save</button>
            </div>
        </div>
    </div>
</div>