new jBox('Modal', {
attach: '#Modal-7',
width: 800,
height: 305,
blockScroll: false,
animation: 'zoomOut',
draggable: 'title',
closeButton: true,
content: '<form name="user_form" method="post">
<div class="modal-body">
<div class="new_customer">
<div class="row">
<div class="col-md-6">
<div class="form-group">
<input name="full_name" id="full_name" autocomplete="off" placeholder="Full Name" type="text">
</div>
<div class="form-group">
<input required type="email" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,3}$" placeholder="Email" name="email" id="email" class="form-control"/>
</div>
<div class="form-group">
<input type="text" name="mobile" id="mobile" placeholder="Mobile" class="form-control"/>
</div>
<div class="form-group">
<select name="sex" id="sex" class="form-control">
<option>Male</option>
<option>Female</option>
</select>
</div>
<div class="form-group">
<input type="text" placeholder="Pincode" name="pincode" id="pincode" class="form-control"/>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<textarea type="text" name="address" id="address1" placeholder="Address" class="form-control"></textarea>
</div>
<div class="form-group">
<input type="text" name="landmark" id="landmark" placeholder="Landmark" class="form-control"/>
</div>
<div class="form-group">
<input type="text" name="city" id="city" placeholder="City" class="form-control"/>
</div>
<div class="form-group">
<input type="text" name="state" id="state" placeholder="State" class="form-control"/>
</div>
<div class="form-group">
<input type="text" name="country" id="country" placeholder="Country" class="form-control"/>
</div>
</div>
<div class="row">
<div class="col-md-12 padd">
<div class="button">
<input type="button" name="submit" value="Submit" onclick="submit_form();">
</div>
</div>
</div>
</div>
</div>
</div>
</form>',
title: '<strong>Walk In</strong>',
title: 'New Customer',
overlay: false,
reposition: false,
repositionOnOpen: false
});
* Note the HTML was originally as a single line. I reformatted it to remove the need to scroll and make it more readable.
Mittineague