<div class="offer-placeholder">
    <form action="{{ URL::route('offerForm.process') }}" method="post" id="offer-form">
        <input type="hidden" name="formname" id="hiddenRow" value="offer-form">

        <span class="error-log {{($errors->has('first_name')? 'active' :'')}}">{{$errors->first('first_name')}}</span>
        <span class="error-log {{($errors->has('last_name')? 'active' :'')}}">{{$errors->first('last_name')}}</span>

        <div class="name-row">
            <div><label for="first_name">@lang('offer.first-name')<em>*</em></label><input class="required" id="first_name"
                                                                                 type="text" name="first_name"></div>
            <div><label for="last_name">@lang('offer.sur-name')<em>*</em></label><input class="required" id="last_name" type="text"
                                                                             name="last_name"></div>
        </div>
        <label for="email">@lang('offer.email')<em>*</em></label>
        <span class="error-log {{($errors->has('email')? 'active' :'')}}">{{$errors->first('email')}}</span>
        <input class="required" id="email" type="email" name="email">

        <label for="phone">@lang('offer.phone')</label>
        <span class="error-log {{($errors->has('phone')? 'active' :'')}}">{{$errors->first('phone')}}</span>
        <input id="phone" type="text" name="phone">

        {{--<label for="address">@lang('offer.adres')<em>*</em></label>--}}
        {{--<span class="error-log {{($errors->has('address')? 'active' :'')}}">{{$errors->first('address')}}</span>--}}
        {{--<input class="required" id="address" type="text" name="address">--}}

        {{--<span class="error-log {{($errors->has('zip_code')? 'active' :'')}}">{{$errors->first('zip_code')}}</span>--}}
        {{--<span class="error-log {{($errors->has('city')? 'active' :'')}}">{{$errors->first('city')}}</span>--}}
        {{--<div class="adres-row">--}}
            {{--<div><label for="zip_code">@lang('offer.zip-code')<em>*</em></label><input class="required" id="zip_code"--}}
                                                                             {{--type="text" name="zip_code"></div>--}}
            {{--<div><label for="city">@lang('offer.city')<em>*</em></label><input class="required" id="city" type="text"--}}
                                                                     {{--name="city"></div>--}}
        {{--</div>--}}

        <label for="formMessage">@lang('offer.message')<em>*</em></label>
        <span class="error-log {{($errors->has('formMessage')? 'active' :'')}}">{{$errors->first('formMessage')}}</span>
        <textarea class="required" id="formMessage" name="formMessage"></textarea>

        <div class="submit-button">
            @lang('offer.submit')<span></span>
            {{ Form::submit(trans('translations.send')) }}
        </div>

    </form>
</div>