New Institution or Contact

Please fill out the following fields to submit the new contact person:

If your contact person is from a new institution, you first need to enter the new institution. 'btn btn-success']);?>

Contact Information

ActiveForm::TYPE_VERTICAL, 'options' => ['class' => 'form-row'], 'fieldConfig' =>['options' => ['class' => 'complete_field searchfields col-lg-6 col-md-5 col-sm-3 col-2']]]); ?> field($model, 'name')?>

field($model, 'email')?>

field($model, 'phone')?>

field($model, 'shoppingSystem')->radioList(['1'=>'yes', '0'=>'no'])?> parentInstitution; $inst =DBInterface::getInstitutions(); $instlist = ArrayHelper::map($inst, 'parentInstitutionID', 'institutionFullName'); echo $form->field($model, 'parentInstitution') ->dropDownList( $instlist, ['prompt' => '--Please select an institution --'], ['options' => [ $selectedValue => ['selected' => true] ] ] ); ?> field($model, 'notes')->textarea()?>

'btn btn-primary', 'name' => 'create-button'])?>