{# designed to be printed in a small box #}
<div class="PNB10" callback="{{ callback }}">
    <form  id="quickAddUser" method="POST" action="{{ path('prod_push_do_add_user') }}" style="padding-top: 20px">
        <table>
            <tr>
                <td>
                    <input name="firstname" placeholder="{{ 'First Name' | trans }} *" type="text" value=""/>
                </td>
                <td>
                    <input name="lastname" placeholder="{{ 'Last Name' | trans }} *" type="text" value=""/>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <input name="email" placeholder="{{ 'Email Name' | trans }} *" type="text" value=""/>
                </td>
            </tr>
            <tr>
                <td>
                    <input name="company" placeholder="{{ 'Company' | trans }}" type="text" value=""/>
                </td>
                <td>
                    <input name="job" placeholder="{{ 'Job' | trans }}" type="text" value=""/>
                </td>
            </tr>
            <tr>
                <td colspan="2" style="text-align: center;padding: 10px 0px;">
                    <button class="cancel" type="button">{{ 'Cancel' | trans }}</button>
                    <button class="valid" type="submit">{{ 'Add' | trans }}</button>
                </td>
            </tr>
            <tr>
                <td></td>
                <td class="messages"></td>
            </tr>
        </table>
    </form>
</div>

<script type="text/javascript">
    var addUserConfig = {
        geonameServerUrl: "{{ app['geonames.server-uri'] }}"
    }

</script>