<div class="modal fade" id="internet-evc-modal" tabindex="-1" role="dialog" aria-labelledby="internet-evc-modal-label" aria-hidden="true"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button> <h4 class="modal-title" id="internet-evc-modal-label">Internet EVC Access Information</h4> </div> <div class="modal-body"> <form id="internet_evc_form" role="form" action="" method="POST"> <div class="form-group"> <label for="ip_version">ip-version</label> <input type="text" class="form-control" name="ip_version" id="ip_version"> </div> <div class="form-group"> <label for="internet_evc_speed_value">internet-evc-speed-value</label> <input type="text" class="form-control" name="internet_evc_speed_value" id="internet_evc_speed_value"> </div> <div class="form-group"> <label for="internet_evc_speed_units">internet-evc-speed-units</label> <input type="text" class="form-control" name="internet_evc_speed_units" id="internet_evc_speed_units"> </div> <!-- <div class="form-group"> <input type="hidden" name="uf_action" id="uf_action"> <button type="button" class="btn btn-primary" onclick="submit(this.form);">Submit</button> <button type="button" class="btn btn-default" data-dismiss="modal">Cancel</button> </div> --> </form> </div> </div> </div> </div> <script type="text/javascript"> function submit(form){ $('#service-status-modal').modal('hide'); form.action = form.uf_action.value; form.submit(); return; } </script>