		<div id="partner-modal" class="modal-content">
        	<div class="title">
        		<h1>Add New Partner to Your Network</h1>
        	</div>
        	<div class="content">
        		<div class="inline">
                	
                    <table cellpadding="0" cellspacing="0">
                    	<tr>
                        	<td><strong>Branch Name</strong></td>
                            <td class="w-150"></td>
                        </tr>
                        <tr>
                        	<td><strong>Company Name</strong></td>
                            <td class="w-150"></td>
                        </tr>
                        <tr>
                        	<td colspan="4">&nbsp;</td>
                        </tr>
                        <tr>
                        	<td>GLN</td>
                            <td class="w-150"></td>
                        </tr>
                        <tr>
                        	<td>Reg no</td>
                            <td class="w-150"></td>
                        </tr>
                        <tr>
                        	<td>VAT no</td>
                            <td class="w-150"></td>
                        </tr>
                        <tr>
                        	<td colspan="4">&nbsp;</td>
                        </tr>
                        <tr>
                        	<td>Address</td>
                            <td class="w-150"></td>
                            <td>Phone</td>
                            <td class="w-170"></td>
                        </tr>
                        <tr>
                        	<td>City</td>
                            <td class="w-150"></td>
                            <td>Mobile</td>
                            <td class="w-170"></td>
                        </tr>
                        <tr>
                        	<td>Country</td>
                            <td class="w-150"></td>
                            <td>FAX</td>
                            <td class="w-170"></td>
                        </tr>
                        <tr>
                        	<td>Postal code</td>
                            <td class="w-150"></td>
                            <td>E-Mail</td>
                            <td class="w-170"></td>
                        </tr>
                        <tr>
                        	<td>POBox</td>
                            <td class="w-150"></td>
                        </tr>
                    </table>
                    
                    <div class="line"></div>
                    
                    <form action="#">
                    	<fieldset>
                    		<ul class="form">
                    			<li><strong>Enter Your Code:</strong></li>
                        		<li><input type="text" class="input errorInput" /></li>
                                <li class="send"><a href="./" class="button b-email3"><span>Send Pairing Request</span></a></li>
                    		</ul>
                    	</fieldset>
                    </form>
                    
                </div>
        	</div>
        </div>