<br>
<div class="row form-group">
    <div class="col-md-4">
        <div class="input-group">
            <span class="input-group-addon color-red">姓名</span>
            <input type="text" name="name" id="name" value="{{ result.name }}" class="form-control">
        </div>
    </div>
    <div class="col-md-4">
        <div class="input-group">
            <span class="input-group-addon color-red">电话</span>
            <input type="text" name="phone" id="phone" value="{{ result.phone }}" class="form-control">
        </div>
    </div>
    <div class="col-md-4">
        <div class="input-group">
            <span class="input-group-addon">等级</span>
            <select name="customer_type" id="customer_type" class="form-control">
                {% for item in customer_type %}
                <option{% if(item.id == result.customer_type) %} selected="selected"{% endif %} value="{{ item.id }}">{{ item.value }}</option>
                {% endfor %}
            </select>
        </div>
    </div>
</div>
<br>
<div class="row form-group">
    <div class="col-md-6">
        <div class="input-group">
            <span class="input-group-addon">客户备注</span>
            <textarea name="customer_remark" id="customer_remark" rows="5" cols="50" class="form-control">{{ result.customer_remark }}</textarea>
        </div>
    </div>
</div>

