/
blacklist-request.php
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/
blacklist-request.php
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<?php
/*
blacklist-request.php
This PHP file is used for the front-end
for admins to request a user to be
blacklisted from the site.
*/
include_once("analyticstracking.php");
?>
<!DOCTYPE html>
<head>
<title>Request a blacklist</title>
<?php include 'includes/header.php'; ?>
</head>
<body>
<?php include 'includes/navbar.php'; ?>
<div class="container">
<!-- Modal -->
<div class="modal fade" id="myModal" role="dialog">
<div class="modal-dialog">
<!-- Modal content-->
<div class="modal-content">
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal">×</button>
<h4 class="modal-title vermillion-color">Attention</h4>
</div>
<div class="modal-body">
<p id="modal-text" class="vermillion-color">TEXT</p>
</div>
<div class="modal-footer">
<button type="button" class="btn btn-default" data-dismiss="modal">Dismiss</button>
</div>
</div>
</div>
</div>
<!-- /Modal-->
<form method="POST" id="request-blacklist" action="db/blacklist-insert.php" onsubmit="return validate();">
<h1>Request a blacklist</h1>
<br/>
<h3>Your information:</h3>
<div class="input-group">
<label for="username" class="white-text"><p class="asterix">* </p>Username:</label>
<input type="text" name="username" id="username" class="form-control" placeholder="johnsmith" required="true"/>
</div>
<div class="input-group">
<label for="password" class="white-text"><p class="asterix">* </p>Password:</label>
<input type="password" name="password" id="password" class="form-control" placeholder="••••••••••••" required="true"/>
</div>
<div class="input-group">
<label for="companyID" class="white-text"><p class="asterix">* </p>Company ID:</label>
<input type="text" name="companyID" id="companyID" class="form-control" placeholder="WM" required="true"/>
</div>
<br/>
<button type="button" id="verify" class="btn btn-sm btn-default">Verify</button>
<br/>
<h3><strong>Their</strong> information:</h3>
<div class="input-group">
<label for="blacklistFirstName" class="white-text"><p class="asterix">* </p>First Name:</label>
<input type="text" name="blacklistFirstName" id="blacklistFirstName" class="form-control" placeholder="James" readonly="true" required="true"/>
</div>
<div class="input-group">
<label for="blacklistLastName" class="white-text"><p class="asterix">* </p>Last Name:</label>
<input type="text" name="blacklistLastName" id="blacklistLastName" class="form-control" placeholder="Doe" readonly="true" required="true"/>
</div>
<div class="input-group">
<label for="ip" class="white-text">IP Address:</label>
<input type="text" name="ip" id="ip" class="form-control" placeholder="192.0.0.1" readonly="true"/>
</div>
<div class="input-group">
<label for="notes" class="white-text"><p class="asterix">* </p>Notes (reason for blacklist):</label> <br/>
<textarea id="notes" name="notes" cols="35" rows="8" readonly="true" required="true"></textarea>
</div>
<br/>
<?php //include 'includes/reCAPTCHA.php'; ?>
<button type="submit" class="btn btn-med btn-success">Submit</button>
</form>
<br/>
<button id="back" class="btn vermillion-bg btn-md pull-right">Back</button>
</div>
</body>
<script src="blacklist-request.js"></script>
</html>