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158 行
<!doctype html>
<!doctype html>
<html class="no-js" lang="">
<html class="no-js" lang="">
<head>
<head>
<meta charset="utf-8">
<meta charset="utf-8">
<meta name="viewport" content="width=device-width,initial-scale=1"/>
<meta name="viewport" content="width=device-width,initial-scale=1"/>
<meta http-equiv="X-UA-Compatible" content="IE=Edge"/>
<meta http-equiv="X-UA-Compatible" content="IE=Edge"/>
<link rel="stylesheet" href="css/main.css?v=0.0.1">
<link rel="stylesheet" href="css/main.css?v=0.0.1">
<script defer src="https://use.fontawesome.com/releases/v5.0.6/js/all.js"></script>
<script defer src="https://use.fontawesome.com/releases/v5.0.6/js/all.js"></script>
<link href="https://use.fontawesome.com/releases/v5.0.6/css/all.css" rel="stylesheet">
<link href="https://use.fontawesome.com/releases/v5.0.6/css/all.css" rel="stylesheet">


<script>
<script>
(function(ns){
(function(ns){
})(window.ware = window.ware || {});
})(window.ware = window.ware || {});
</script>
</script>


<title>Request Supplies | WARE</title>
<title>Request Supplies | WARE</title>
</head>
</head>
<body class="">
<body class="">
<header data-main-menu>
<header data-main-menu>
<a href="/" class="logo"><img src="img/logo.png" alt="W/ARE"> <span>Developer's Area</span></a>
<a href="/" class="logo"><img src="img/logo.png" alt="W/ARE"> <span>Developer's Area</span></a>
<div class="menu-btn" data-menu-btn>
<div class="menu-btn" data-menu-btn>
<span></span>
<span></span>
</div>
</div>
<div class="menu">
<div class="menu">
<nav>
<nav>
<a href="/" class="">Dashboard</a>
<a href="/" class="">Dashboard</a>
<a href="/documents" class="">Documents</a>
<a href="/documents" class="">Documents</a>
<a href="/taskmanager" class="">Task Manager</a>
<a href="/taskmanager" class="">Task Manager</a>
<a href="/supplyrequest" class="active">Request Supplies</a>
<a href="/supplyrequest" class="active">Request Supplies</a>
</nav>
</nav>
<div class="tools">
<div class="tools">
<a href="/profile" class="profile ">
<a href="/profile" class="profile ">
<span class="avatar">
<span class="avatar">
<img src="img/arnaud-lacours-small.jpg" alt="">
<img src="img/arnaud-lacours-small.jpg" alt="">
</span>
</span>
<span class="welcome">WELCOME, ARNAUD!</span>
<span class="welcome">WELCOME, ARNAUD!</span>
</a>
</a>
<a class="logout" href="/logout">Log out</a>
<a class="logout" href="/logout">Log out</a>
</div>
</div>
</div>
</div>
</header>
</header>


<div class="page-wrapper supplyrequest-page access-denied-page">
<div class="page-wrapper supplyrequest-page ">
<div class="access-denied">
<div class="container">
<div class="container">
<div class="row">
<div class="col-md-8 offset-md-2">
<div class="col-12 title-page">
<h1>Access denied</h1>
<h1>Request Supplies</h1>
<h2>Insuficient funds</h2>
<h2>Procurement department</h2>

</div>
<a href="/" class="button">Return to dashboard</a>
</div>
<form class="row" data-supply-form>
<div class="col-12 col-md-6 offset-md-3 supplyrequest-form">
<div class="title">Specific item order form</div>
<div class="row">
<div class="col-12 col-md-6">
<div class="field">
<input id="first_name" name="first_name" type="text" value="Arnaud" required readonly>
<label for="first_name" data-placeholder="First Name*">
<span>First Name<i class='asterix'>*</i></span>
</label>
</div>
</div>
<div class="col-12 col-md-6">
<div class="field">
<input id="last_name" name="last_name" type="text" value="Lacours" required readonly>
<label for="last_name" data-placeholder="Last Name*">
<span>Last Name<i class='asterix'>*</i></span>
</label>
</div>
</div>
<div class="col-12 col-md-6">
<div class="field">
<input id="employee_id" name="employee_id" type="text" value="43617373696e69" readonly required>
<label for="employee_id" data-placeholder="Employee ID*">
<span>Developer ID<i class='asterix'>*</i></span>
</label>
</div>
</div>
<div class="col-12 col-md-6">
<div class="field">
<input id="department" name="department" type="text" value="New Product Development" readonly required>
<label for="department" data-placeholder="Department*">
<span>Department<i class='asterix'>*</i></span>
</label>
</div>
</div>
<div class="col-12 col-md-6">
<div class="field select">
<select id="item" name="item" type="text" required>
<option value="5x type 3 USB cable">5x type 3 USB cable (40 wc.)</option>
<option value="Cleaning product">Cleaning product (30 wc.)</option>
<option value="EEG monitor">EEG monitor (250 wc.)</option>
<option value="Radiation guard for v1 headset">Radiation guard for v1 headset (500 wc.)</option>
<option value="Official WARE Mood Regulators">Official WARE Mood Regulators (100 wc.)</option>
<option value="Official WARE Defibrillator">Official WARE Defibrillator (500 wc.)</option>
<option value="Portable WARE Epinephrine Auto-injector">Portable WARE Epinephrine Auto-injector (500 wc.)</option>
<option value="Official WARE propofol injector">Official WARE propofol injector (500 wc.)</option>
<option value="Blood-thinners">Blood-thinners (20 wc.)</option>
<option value="Official WARE Wireless Earbuds">Official WARE Wireless Earbuds (100 wc.)</option>
<option value="Additional WARE foam pads">Additional WARE foam pads (50 wc.)</option>
</select>
<label for="item" data-placeholder="Item*">
<span>Item <i class='asterix'>*</i></span>
</label>
</div>
</div>
<div class="col-12 col-md-6">
<div class="field">
<input id="quantity" name="quantity" type="number" required />
<label for="quantity" data-placeholder="Quantity*">
<span>Quantity<i class='asterix'>*</i></span>
</label>
</div>
</div>
<div class="col-12">
<hr>
</div>
<div class="col-12">
<div class="field">
<textarea id="med_cond" name="med_cond" type="number" required></textarea>
<label for="med_cond" data-placeholder="Prexisting medical conditions*">
<span>Prexisting medical conditions<i class='asterix'>*</i></span>
</label>
</div>
</div>
<div class="col-12">
<div class="field">
<p><strong>Notice :</strong> Use these products exactly as instructed. WARE is not responsible for side effects directly or indirectly caused by use of these products, up to and including serious injury or death. By clicking ‘Confirm Supply Request’ you hereby waive all rights to legal action or compensation.</p>
</div>
</div>
<div class="col-12">
<button class="button">Confirm Supply Request</button>
</div>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div> </div>


<footer class="footer">
<footer class="footer">
&copy; WARE - A new generation of neural engineers - 2018
&copy; WARE - A new generation of neural engineers - 2018
</footer>
</footer>


<script src="js/common.js?v=0.0.1"></script>
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gtag('config', 'UA-115470959-1');
gtag('config', 'UA-115470959-1');
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</body>
</body>
</html>
</html>
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