#edit-address-dialog
  %h2 {{ addressType === 'bill_address' ?  "#{t('admin.customers.index.edit_bill_address')}" : "#{t('admin.customers.index.edit_ship_address')}" }}
  %form{ name: 'edit_address_form', novalidate: true, "ng-submit": 'updateAddress()' }
    .row
      {{ 'admin.customers.index.required_fileds' | t }}
      (
      %span.required *
      )
    .error{ "ng-repeat": "error in errors", "ng-bind": "error" }

    %table.no-borders
      %tr
        %td{style: 'width: 30%'}
          {{ 'first_name' | t }}
          %span.required *
        %td
          %input{ type: 'text', name: 'firstname', required: true, "ng-model": 'address.firstname' }
      %tr
        %td
          {{ 'last_name' | t }}
          %span.required *
        %td
          %input{ type: 'text', name: 'lastname', required: true, "ng-model": 'address.lastname' }
      %tr
        %td
          {{ 'address' | t }}
          %span.required *
        %td
          %input{ type: 'text', name: 'address1', required: true, "ng-model": 'address.address1' }
      %tr
        %td
          {{ 'address2' | t }}
        %td
          %input{ type: 'text', name: 'address2', "ng-model": 'address.address2' }
      %tr
        %td
          {{ 'city' | t }}
          %span.required *
        %td
          %input{ type: 'text', name: 'city', required: true, "ng-model": 'address.city' }
      %tr
        %td
          {{ 'postcode' | t }}
          %span.required *
        %td
          %input{ type: 'text', name: 'zipcode', required: true, "ng-model": 'address.zipcode' }
      %tr
        %td
          {{ 'country' | t }}
          %span.required *
        %td
          %input.ofn-select2.fullwidth#country_id{ type: 'number', name: 'country_id', required: true, placeholder: "{{ 'admin.customers.index.select_country' | t }}", data: 'availableCountries', "ng-model": 'address.country_id' }
      %tr
        %td
          {{ 'state' | t }}
          %span.required *
        %td
          %input.ofn-select2.fullwidth#state_id{ type: 'number', name: 'state_id', required: true, placeholder: "{{ 'admin.customers.index.select_state' | t }}", data: 'states', "ng-model": 'address.state_id' }

      %tr
        %td
          {{ 'phone' | t }}
          %span.required *
        %td
          %input{ type: 'text', name: 'phone', required: true, "ng-model": 'address.phone' }

    .text-center
      %input.button.red.icon-plus{ type: 'submit', value: t('admin.customers.index.update_address')}