{{ header }}{{ column_left }}
<div id="content">
  <div class="page-header">
    <div class="container-fluid">
      <div class="pull-right">
        <button type="submit" form="form-carousel" data-toggle="tooltip" title="{{ button_save }}" class="btn btn-primary"><i class="fa fa-save"></i></button>
        <a href="{{ cancel }}" data-toggle="tooltip" title="{{ button_cancel }}" class="btn btn-default"><i class="fa fa-reply"></i></a></div>
      <h1>{{ heading_title }}</h1>
      <ul class="breadcrumb">
        {% for breadcrumb in breadcrumbs %}
        <li><a href="{{ breadcrumb['href'] }}">{{ breadcrumb['text'] }}</a></li>
        {% endfor %}
      </ul>
    </div>
  </div>
  <div class="container-fluid">
    {% if error_warning %}
    <div class="alert alert-danger"><i class="fa fa-exclamation-circle"></i> {{ error_warning }}
      <button type="button" class="close" data-dismiss="alert">&times;</button>
    </div>
    {% endif %}
    <div class="panel panel-default">
      <div class="panel-heading">
        <h3 class="panel-title"><i class="fa fa-pencil"></i> {{ text_edit }}</h3>
      </div>
      <div class="panel-body">
        <form action="{{ action }}" method="post" enctype="multipart/form-data" id="form-carousel" class="form-horizontal">
          <div class="form-group">
            <label class="col-sm-2 control-label" for="input-module-name">{{ entry_name }}</label>
            <div class="col-sm-10">
              <input type="text" name="tracking_input_module[name]" value="{{ module['name'] }}" placeholder="{{ entry_name }}" id="input-module-name" class="form-control" />
            </div>
          </div>
          <div class="form-group">
            <label class="col-sm-2 control-label" for="input-module-language">{{ entry_language }}</label>
            <div class="col-sm-10">
				<select name="tracking_input_module[language_id]" class="form-control" id="input-module-language">
				  {% for language in languages %}
					<option value="{{ language['language_id'] }}"{% if module['language_id'] == language['language_id'] %} selected="selected"{% endif %}>{{ language['name'] }}</option>
                  {% endfor %}
                </select>
            </div>
          </div>		  
          <div class="form-group">
            <label class="col-sm-2 control-label" for="input-module-text">{{ entry_text }}</label>
            <div class="col-sm-10">				
              <textarea name="tracking_input_module[text]" placeholder="{{ entry_text }}" id="input-module-text" class="form-control">{{ module['text'] }}</textarea>
            </div>
          </div>
          <div class="form-group">
            <label class="col-sm-2 control-label" for="input-module-text-heading">{{ entry_text_heading }}</label>
            <div class="col-sm-10">
              <input type="text" name="tracking_input_module[text_heading]" value="{{ module['text_heading'] }}" placeholder="{{ entry_text_heading }}" id="input-module-text-heading" class="form-control" />
            </div>
          </div>		  
          <div class="form-group">
            <label class="col-sm-2 control-label" for="input-module-text-thankyou">{{ entry_text_thankyou }}</label>
            <div class="col-sm-10">
              <input type="text" name="tracking_input_module[text_thankyou]" value="{{ module['text_thankyou'] }}" placeholder="{{ entry_text_thankyou }}" id="input-module-text-thankyou" class="form-control" />
            </div>
          </div>
          <div class="form-group">
            <label class="col-sm-2 control-label" for="input-module-button">{{ entry_button }}</label>
            <div class="col-sm-10">
              <input type="text" name="tracking_input_module[button]" value="{{ module['button'] }}" placeholder="{{ entry_button }}" id="input-module-button" class="form-control" />
            </div>
          </div>
          <div class="form-group">
            <label class="col-sm-2 control-label" for="input-module-error-message">{{ entry_error_message }}</label>
            <div class="col-sm-10">
              <input type="text" name="tracking_input_module[error_message]" value="{{ module['error_message'] }}" placeholder="{{ entry_error_message }}" id="input-module-error-message" class="form-control" />
            </div>
          </div>		  
          <div class="form-group">
            <label class="col-sm-2 control-label" for="input-module-template">{{ entry_head_template }}</label>
            <div class="col-sm-10">
				<select name="tracking_input_module[template]" class="form-control" id="input-module-template">				 
				   {% for tpl in templates %}
					<option value="{{ tpl }}"{% if module['template'] == tpl %} selected="selected"{% endif %}>{{ templates_display[tpl]['title'] }}</option>
					{% endfor %}
                </select>
            </div>
          </div>
          <div class="form-group">
            <label class="col-sm-2 control-label" for="input-status">{{ entry_module_status }}</label>
            <div class="col-sm-10">
              <select name="tracking_input_module[status]" id="input-status" class="form-control">
                {% if module['status'] %}
                <option value="1" selected="selected">{{ text_enabled }}</option>
                <option value="0">{{ text_disabled }}</option>
                {% else %}
                <option value="1">{{ text_enabled }}</option>
                <option value="0" selected="selected">{{ text_disabled }}</option>
                {% endif %}
              </select>
            </div>
          </div>		  
        </form>
      </div>
    </div>
  </div>
</div>
{{ footer }}