<h2>Create InkjetRecords</h2>

<%= HTML.FormTag("InkjetRecords", "CreatePost", empty, empty) %>
<%= HTML.Hidden("nonce", HTMLSecurity.GetAntiCSRFToken("InkjetRecordsCreateForm")) %>
<hr />

<div class="form-group">
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="KitID">KitID</label>
				<%= HTML.TextboxExt("KitID", Model.KitID, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="VOTERID">VOTERID</label>
				<%= HTML.TextboxExt("VOTERID", Model.VOTERID, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="LASTNAME">LASTNAME</label>
				<%= HTML.TextboxExt("LASTNAME", Model.LASTNAME, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="FIRSTNAME">FIRSTNAME</label>
				<%= HTML.TextboxExt("FIRSTNAME", Model.FIRSTNAME, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="MIDDLENAME">MIDDLENAME</label>
				<%= HTML.TextboxExt("MIDDLENAME", Model.MIDDLENAME, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="SUFFIX">SUFFIX</label>
				<%= HTML.TextboxExt("SUFFIX", Model.SUFFIX, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="PRECINCT">PRECINCT</label>
				<%= HTML.TextboxExt("PRECINCT", Model.PRECINCT, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="ADDRESS1">ADDRESS1</label>
				<%= HTML.TextboxExt("ADDRESS1", Model.ADDRESS1, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="ADDRESS2">ADDRESS2</label>
				<%= HTML.TextboxExt("ADDRESS2", Model.ADDRESS2, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="ADDRESS3">ADDRESS3</label>
				<%= HTML.TextboxExt("ADDRESS3", Model.ADDRESS3, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="ADDRESS4">ADDRESS4</label>
				<%= HTML.TextboxExt("ADDRESS4", Model.ADDRESS4, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="ADDRESS5">ADDRESS5</label>
				<%= HTML.TextboxExt("ADDRESS5", Model.ADDRESS5, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="APPSENT">APPSENT</label>
				<%= HTML.TextboxExt("APPSENT", Model.APPSENT, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="APPRETURNED">APPRETURNED</label>
				<%= HTML.TextboxExt("APPRETURNED", Model.APPRETURNED, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="BALSENT">BALSENT</label>
				<%= HTML.TextboxExt("BALSENT", Model.BALSENT, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="BALRETURNED">BALRETURNED</label>
				<%= HTML.TextboxExt("BALRETURNED", Model.BALRETURNED, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="CountingBoard">CountingBoard</label>
				<%= HTML.TextboxExt("CountingBoard", Model.CountingBoard, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="UOCAVASTATUS">UOCAVASTATUS</label>
				<%= HTML.TextboxExt("UOCAVASTATUS", Model.UOCAVASTATUS, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="EMAILADDRESS">EMAILADDRESS</label>
				<%= HTML.TextboxExt("EMAILADDRESS", Model.EMAILADDRESS, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="PHONENUMBER">PHONENUMBER</label>
				<%= HTML.TextboxExt("PHONENUMBER", Model.PHONENUMBER, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="BALLOT_NUMBER">BALLOT_NUMBER</label>
				<%= HTML.TextboxExt("BALLOT_NUMBER", Model.BALLOT_NUMBER, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="CassADDRESS1">CassADDRESS1</label>
				<%= HTML.TextboxExt("CassADDRESS1", Model.CassADDRESS1, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="CassADDRESS2">CassADDRESS2</label>
				<%= HTML.TextboxExt("CassADDRESS2", Model.CassADDRESS2, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="CassADDRESS3">CassADDRESS3</label>
				<%= HTML.TextboxExt("CassADDRESS3", Model.CassADDRESS3, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="CassADDRESS4">CassADDRESS4</label>
				<%= HTML.TextboxExt("CassADDRESS4", Model.CassADDRESS4, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-4">
			<div class="form-group">
				<label for="CassADDRESS5">CassADDRESS5</label>
				<%= HTML.TextboxExt("CassADDRESS5", Model.CassADDRESS5, Array("class", "form-control")) %>
			</div>
		</div>
	</div>
    <%= HTML.Button("submit", "<i class='glyphicon glyphicon-ok'></i> Create", "btn-primary") %>
    &nbsp;&nbsp;
    <%= HTML.LinkToExt("<i class='glyphicon glyphicon-remove'></i> Cancel", "InkjetRecords", "Index", empty, Array("class", "btn btn-default")) %>
</div>

</form>
