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- Handle: @address
- Preview:
- Filesystem Path: src\components\02-blocks\forms\03-specials\address\address.hbs
- References (2): @input--text, @dropdown--states
- Referenced by (1): @request-info
<div class="form-control Page1">
<label for="field-1">Street</label>
<input id="field-1" type="text" name="Field_street" />
</div>
<div class="form-control Page2">
<label for="field-2">City</label>
<input id="field-2" type="text" name="Field_city" />
</div>
<div class="form-control Page3">
<label for="field-3">State</label>
<div class="description" id="description-3"></div>
<select name="Field_state" id="field-3">
<option value="" selected>--Select an option--</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AS">American Samoa</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FM">Fed St of Micronesia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MH">Marshall Islands</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="MP">No Mariana Islands</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PW">Palau</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AE">Armed Forces Africa</option>
<option value="AA">Armed Forces Americas</option>
<option value="AE">Armed Forces Canada</option>
<option value="AE">Armed Forces Europe</option>
<option value="AE">Armed Forces Middle East</option>
<option value="AP">Armed Forces Pacific</option>
</select>
</div>
<div class="form-control Page4">
<label for="field-4">Zip code</label>
<input id="field-4" type="text" name="Field_zip_code" />
</div>
{{> @input--text address}}
{{> @input--text city}}
{{> @dropdown--states state}}
{{> @input--text zip}}
{
"address": {
"pageId": 1,
"label": "Street",
"name": "street"
},
"city": {
"pageId": 2,
"label": "City",
"name": "city"
},
"state": {
"pageId": 3,
"type": "dropdown",
"label": "State",
"name": "state",
"group": [
{
"control": [
{
"option": "--Select an option--",
"selected": true,
"value": null
},
{
"option": "Alabama",
"value": "AL"
},
{
"option": "Alaska",
"value": "AK"
},
{
"option": "American Samoa",
"value": "AS"
},
{
"option": "Arizona",
"value": "AZ"
},
{
"option": "Arkansas",
"value": "AR"
},
{
"option": "California",
"value": "CA"
},
{
"option": "Colorado",
"value": "CO"
},
{
"option": "Connecticut",
"value": "CT"
},
{
"option": "Delaware",
"value": "DE"
},
{
"option": "District of Columbia",
"value": "DC"
},
{
"option": "Fed St of Micronesia",
"value": "FM"
},
{
"option": "Florida",
"value": "FL"
},
{
"option": "Georgia",
"value": "GA"
},
{
"option": "Guam",
"value": "GU"
},
{
"option": "Hawaii",
"value": "HI"
},
{
"option": "Idaho",
"value": "ID"
},
{
"option": "Illinois",
"value": "IL"
},
{
"option": "Indiana",
"value": "IN"
},
{
"option": "Iowa",
"value": "IA"
},
{
"option": "Kansas",
"value": "KS"
},
{
"option": "Kentucky",
"value": "KY"
},
{
"option": "Louisiana",
"value": "LA"
},
{
"option": "Maine",
"value": "ME"
},
{
"option": "Marshall Islands",
"value": "MH"
},
{
"option": "Maryland",
"value": "MD"
},
{
"option": "Massachusetts",
"value": "MA"
},
{
"option": "Michigan",
"value": "MI"
},
{
"option": "Minnesota",
"value": "MN"
},
{
"option": "Mississippi",
"value": "MS"
},
{
"option": "Missouri",
"value": "MO"
},
{
"option": "Montana",
"value": "MT"
},
{
"option": "Nebraska",
"value": "NE"
},
{
"option": "Nevada",
"value": "NV"
},
{
"option": "New Hampshire",
"value": "NH"
},
{
"option": "New Jersey",
"value": "NJ"
},
{
"option": "New Mexico",
"value": "NM"
},
{
"option": "New York",
"value": "NY"
},
{
"option": "North Carolina",
"value": "NC"
},
{
"option": "North Dakota",
"value": "ND"
},
{
"option": "No Mariana Islands",
"value": "MP"
},
{
"option": "Ohio",
"value": "OH"
},
{
"option": "Oklahoma",
"value": "OK"
},
{
"option": "Oregon",
"value": "OR"
},
{
"option": "Palau",
"value": "PW"
},
{
"option": "Pennsylvania",
"value": "PA"
},
{
"option": "Puerto Rico",
"value": "PR"
},
{
"option": "Rhode Island",
"value": "RI"
},
{
"option": "South Carolina",
"value": "SC"
},
{
"option": "South Dakota",
"value": "SD"
},
{
"option": "Tennessee",
"value": "TN"
},
{
"option": "Texas",
"value": "TX"
},
{
"option": "Utah",
"value": "UT"
},
{
"option": "Vermont",
"value": "VT"
},
{
"option": "Virgin Islands",
"value": "VI"
},
{
"option": "Virginia",
"value": "VA"
},
{
"option": "Washington",
"value": "WA"
},
{
"option": "West Virginia",
"value": "WV"
},
{
"option": "Wisconsin",
"value": "WI"
},
{
"option": "Wyoming",
"value": "WY"
},
{
"option": "Armed Forces Africa",
"value": "AE"
},
{
"option": "Armed Forces Americas",
"value": "AA"
},
{
"option": "Armed Forces Canada",
"value": "AE"
},
{
"option": "Armed Forces Europe",
"value": "AE"
},
{
"option": "Armed Forces Middle East",
"value": "AE"
},
{
"option": "Armed Forces Pacific",
"value": "AP"
}
]
}
]
},
"zip": {
"pageId": 4,
"label": "Zip code",
"name": "zip_code"
}
}