@extends('site.emptyMaster')
@section('header-content')
@endsection
@section('content')
@if(isset($registered))
<div class="container register-form">
<div class="grid-row">
<div class="grid-col col-12 clip-board">
@include('site.svg.clipboard_header')
<div class="panel panel-default">
<div class="panel-heading">@lang('site/global.thanksForRegistering')</div>
<div class="panel-body">
@lang('kms/users.registered')
</div>
<br>
<br>
<a class="button filled arrow yellow"
href="/">@lang('site/global.backToHome')
</a>
</div>
</div>
</div>
</div>
@else
<div class="container register-form">
<div class="grid-row">
<div class="grid-col col-12 clip-board">
@include('site.svg.clipboard_header')
<div class="panel panel-default">
<div class="panel-heading">
<h1>@lang('site/global.becomeClientOfEurotools')</h1>
<h2>@lang('site/global.andGainAccessToProducts')</h2>
</div>
<div class="panel-body">
<form class="form-horizontal form" method="POST" action="/{{ \App::getLanguage()->iso_2.'/register_submit' }}" novalidate>
{{ csrf_field() }}
<h3>@lang('site/form.company_data')</h3>
{{-- Company info --}}
<div class="form-group{{ $errors->has('company_name') || $errors->has('chamber_of_commerce') ? ' has-error' : '' }}">
<div class="grid-col col-md-6">
<label for="company_name"
class="grid-col col-md-4 control-label">@lang('site/form.company.label')</label>
<input id="company_name" type="text" class="form-control" name="company_name"
value="{{ !empty($_GET["name"]) ? $_GET["name"] : old('company_name') }}"
placeholder="@lang('site/form.company.placeholder')"
required autofocus>
@if ($errors->has('company_name'))
<span class="help-block">
<strong>{{ $errors->first('company_name') }}</strong>
</span>
@endif
</div>
<div class="grid-col col-md-6">
<label for="chamber_of_commerce"
class="grid-col col-md-4 control-label">@lang('site/form.chamber_of_commerce.label')</label>
<input id="chamber_of_commerce" type="text" class="form-control"
name="chamber_of_commerce" value="{{ old('chamber_of_commerce') }}"
placeholder="@lang('site/form.chamber_of_commerce.placeholder')"
required autofocus>
@if ($errors->has('chamber_of_commerce'))
<span class="help-block">
<strong>{{ $errors->first('chamber_of_commerce') }}</strong>
</span>
@endif
</div>
</div>
<h3>@lang('kms/orderOverview.invoice_address')</h3>
<div class="form-group{{ $errors->has('company_street') || $errors->has('company_house_number') ? ' has-error' : '' }}">
<div class="grid-col col-md-6">
<label for="company_street"
class="grid-col col-md-4 control-label">@lang('site/form.company_street.label')</label>
<input id="company_street" type="text" class="form-control"
name="company_street" value="{{ old('company_street') }}"
placeholder="@lang('site/form.company_street.placeholder')"
required
autofocus>
@if ($errors->has('company_street'))
<span class="help-block">
<strong>{{ $errors->first('company_street') }}</strong>
</span>
@endif
</div>
<div class="grid-col col-md-6">
<label for="company_house_number"
class="grid-col col-md-4 control-label">@lang('site/form.company_house_number.label')</label>
<input id="company_house_number" type="text" class="form-control"
name="company_house_number" value="{{ old('company_house_number') }}"
placeholder="@lang('site/form.company_house_number.placeholder')"
required autofocus>
@if ($errors->has('company_house_number'))
<span class="help-block">
<strong>{{ $errors->first('company_house_number') }}</strong>
</span>
@endif
</div>
</div>
<div class="form-group{{ $errors->has('company_zip_code') || $errors->has('company_city') ? ' has-error' : '' }}">
<div class="grid-col col-md-6">
<label for="company_zip_code"
class="grid-col col-md-4 control-label">@lang('site/form.company_zip_code.label')</label>
<input id="company_zip_code" type="text" class="form-control"
name="company_zip_code" value="{{ old('company_zip_code') }}"
placeholder="@lang('site/form.company_zip_code.placeholder')"
required
autofocus>
@if ($errors->has('company_zip_code'))
<span class="help-block">
<strong>{{ $errors->first('company_zip_code') }}</strong>
</span>
@endif
</div>
<div class="grid-col col-md-6">
<label for="company_city"
class="grid-col col-md-4 control-label">@lang('site/form.company_city.label')</label>
<input id="company_city" type="text" class="form-control" name="company_city"
placeholder="@lang('site/form.company_city.placeholder')"
value="{{ old('company_city') }}" required autofocus>
@if ($errors->has('company_city'))
<span class="help-block">
<strong>{{ $errors->first('company_city') }}</strong>
</span>
@endif
</div>
</div>
<div class="form-group{{ $errors->has('company_country') || $errors->has('company_vat_number') ? ' has-error' : '' }}">
<div class="grid-col col-md-6">
<label for="company_country" class="grid-col col-md-4 control-label">@lang('site/form.company_country.label')</label>
<select name="company_country" id="company_country">
@foreach($countries as $isoCode => $country)
<option value="{{ $isoCode }}" {{ $isoCode == old('company_country', 'NL') ? "selected" : '' }}> {{ $country }} </option>
@endforeach
</select>
@if ($errors->has('company_country'))
<span class="help-block">
<strong>{{ $errors->first('company_country') }}</strong>
</span>
@endif
</div>
<div class="grid-col col-md-6">
<label for="company_vat_number"
class="grid-col col-md-4 control-label">@lang('site/form.vat_number.label')</label>
<input id="company_vat_number" type="text" class="form-control"
name="company_vat_number" value="{{ old('company_vat_number') }}"
placeholder="@lang('site/form.vat_number.placeholder')"
required autofocus>
@if ($errors->has('company_vat_number'))
<span class="help-block">
<strong>{{ $errors->first('company_vat_number') }}</strong>
</span>
@endif
</div>
</div>
<h3>@lang('kms/orderOverview.shipping_address')
<label class="shippingToggle" for="differentShippingAddress">
<input type="checkbox" name="differentShippingAddress">
@lang('site/form.different_shipping_address')
<span class="checkmark"></span>
</label>
</h3>
<div class="shipping-block">
{{-- Shipping info --}}
<div class="form-group{{ $errors->has('shipping_street') || $errors->has('shipping_house_number') ? ' has-error' : '' }}">
<div class="grid-col col-md-6">
<label for="shipping_street"
class="grid-col col-md-4 control-label">@lang('site/form.company_street.label')</label>
<input id="shipping_street" type="text" class="form-control"
name="shipping_street" value="{{ old('shipping_street') }}"
placeholder="@lang('site/form.company_street.placeholder')"
required
autofocus>
@if ($errors->has('shipping_street'))
<span class="help-block">
<strong>{{ $errors->first('shipping_street') }}</strong>
</span>
@endif
</div>
<div class="grid-col col-md-6">
<label for="shipping_house_number"
class="grid-col col-md-4 control-label">@lang('site/form.company_house_number.label')</label>
<input id="shipping_house_number" type="text" class="form-control"
name="shipping_house_number"
value="{{ old('shipping_house_number') }}"
placeholder="@lang('site/form.company_house_number.placeholder')"
required autofocus>
@if ($errors->has('shipping_house_number'))
<span class="help-block">
<strong>{{ $errors->first('shipping_house_number') }}</strong>
</span>
@endif
</div>
</div>
<div class="form-group{{ $errors->has('shipping_zip_code') || $errors->has('shipping_city') ? ' has-error' : '' }}">
<div class="grid-col col-md-6">
<label for="shipping_zip_code"
class="grid-col col-md-4 control-label">@lang('site/form.company_zip_code.label')</label>
<input id="shipping_zip_code" type="text" class="form-control"
name="shipping_zip_code" value="{{ old('shipping_zip_code') }}"
placeholder="@lang('site/form.company_zip_code.placeholder')"
required
autofocus>
@if ($errors->has('shipping_zip_code'))
<span class="help-block">
<strong>{{ $errors->first('shipping_zip_code') }}</strong>
</span>
@endif
</div>
<div class="grid-col col-md-6">
<label for="shipping_city"
class="grid-col col-md-4 control-label">@lang('site/form.company_city.label')</label>
<input id="shipping_city" type="text" class="form-control"
name="shipping_city"
value="{{ old('shipping_city') }}"
placeholder="@lang('site/form.company_city.placeholder')"
required autofocus>
@if ($errors->has('shipping_city'))
<span class="help-block">
<strong>{{ $errors->first('shipping_city') }}</strong>
</span>
@endif
</div>
</div>
<div class="form-group{{ $errors->has('shipping_country') ? ' has-error' : '' }}">
<div class="grid-col col-md-6">
<label for="shipping_country" class="grid-col col-md-4 control-label">@lang('site/form.company_country.label')</label>
<select name="shipping_country" id="shipping_country">
@foreach($countries as $isoCode => $country)
<option value="{{ $isoCode }}" {{ $isoCode == old('shipping_country', 'NL') ? "selected" : '' }}>{{ $country }}</option>
@endforeach
</select>
@if ($errors->has('shipping_country'))
<span class="help-block">
<strong>{{ $errors->first('shipping_country') }}</strong>
</span>
@endif
</div>
</div>
</div>
<h3>@lang('site/form.personal_data')</h3>
<div class="form-group{{ $errors->has('first_name') || $errors->has('last_name') ? ' has-error' : '' }}">
<div class="grid-col col-md-5">
<label for="first_name"
class="grid-col grid-col col-md-4 control-label">@lang('site/form.first_name.label')</label>
<input id="first_name" type="text" class="form-control" name="first_name"
placeholder="@lang('site/form.first_name.placeholder')"
value="{{ old('first_name') }}">
@if ($errors->has('first_name'))
<span class="help-block">
<strong>{{ $errors->first('first_name') }}</strong>
</span>
@endif
</div>
<div class="grid-col col-md-5">
<label for="last_name"
class="grid-col grid-col col-md-4 control-label">@lang('site/form.last_name.label')</label>
<input id="last_name" type="text" class="form-control" name="last_name"
placeholder="@lang('site/form.last_name.placeholder')"
value="{{ old('last_name') }}" required autofocus>
@if ($errors->has('last_name'))
<span class="help-block">
<strong>{{ $errors->first('last_name') }}</strong>
</span>
@endif
</div>
</div>
<div class="form-group{{ $errors->has('email') || $errors->has('telephone') ? ' has-error' : '' }}">
<div class="grid-col col-md-6">
<label for="email"
class="grid-col col-md-4 control-label">@lang('site/form.email_address.label')</label>
<input id="email" type="email" class="form-control" name="email"
placeholder="@lang('site/form.email_address.placeholder')"
value="{{ old('email') }}" required>
@if ($errors->has('email'))
<span class="help-block">
<strong>{{ $errors->first('email') }}</strong>
</span>
@endif
</div>
<div class="grid-col col-md-6">
<label for="telephone"
class="grid-col col-md-4 control-label">@lang('site/form.phone.label')</label>
<input id="telephone" type="text" class="form-control" name="telephone"
value="{{ old('telephone') }}"
placeholder="@lang('site/form.phone.placeholder')"
required autofocus>
@if ($errors->has('telephone'))
<span class="help-block">
<strong>{{ $errors->first('telephone') }}</strong>
</span>
@endif
</div>
</div>
<div class="form-group{{ $errors->has('gender') ? ' has-error' : '' }}">
<div class="grid-col col-md-3 gender">
<label for="gender" class="grid-col grid-col col-md-4 control-label">
<p>@lang('site/form.gender')</p>
<input id="gender" type="checkbox" class="form-control" name="gender" value="female" {{old('gender') == 'female' ? 'checked' : ''}}>
<span class="toggle">
<div class="male">M</div>
<div class="female">V</div>
</span>
@if ($errors->has('gender'))
<span class="help-block">
<strong>{{ $errors->first('gender') }}</strong>
</span>
@endif
</label>
</div>
</div>
<h3>{{$links->legal->name}}</h3>
<div class="form-group{{ $errors->has('conditions') ? ' has-error' : '' }}">
<div class="grid-col col-md-6 legal">
<label class="conditions" for="conditions">
<input type="checkbox" name="conditions">
@lang('site/form.i_agree_with')<a href="/{{$links->legal->route}}">{{$links->legal->name}}</a>
<span class="checkmark"></span>
</label>
@if ($errors->has('conditions'))
<span class="help-block">
<strong>{{ $errors->first('conditions') }}</strong>
</span>
@endif
</div>
</div>
<div class="form-group">
<div class="grid-col col-md-6 col-md-offset-4">
<div class="submit">
<label class="submitButtonHolder">
<input class="button filled blue arrow" type="submit" value="@lang('site/form.request_login')">
<span class="arrow"></span>
</label>
</div>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
@endif
@endsection