<div class="pop-up"> <div class="background"></div> <div class="form-container"> <?php echo Form::open(['url' => route('pop-up.process'), 'id' => 'popUpForm', 'class' =>'form']); ?> <h1><?php echo \Illuminate\Support\Facades\Lang::get('translations.buyThis'); ?></h1> <div class="name form-element"> <span class="error-message <?php echo ($errors->has('name')? 'active' :''); ?>"><?php echo $errors->first('name'); ?></span> <?php echo Form::label('name',trans('translations.name')); ?> <div class="item-holder"> <?php echo Form::text('name', Input::old('name'), ['id' => 'name']); ?> </div> </div> <div class="email form-element"> <span class="error-message <?php echo ($errors->has('email')? 'active' :''); ?>"><?php echo $errors->first('email'); ?></span> <?php echo Form::label('email',trans('translations.email')); ?> <div class="item-holder"> <?php echo Form::email('email', Input::old('email'), ['id' => 'email']); ?> </div> </div> <div class="part form-element readonly"> <?php echo Form::label('part',trans('translations.part')); ?> <div class="item-holder"> <p><?php echo $data->uniqueNr.' - '.$data->translation->title.' - €'.$data->price; ?></p> <?php echo Form::text('part_nr', $data->uniqueNr, ['id' => 'part_nr', 'readonly']); ?> <?php echo Form::text('part_title', $data->translation->title, ['id' => 'part_title', 'readonly']); ?> <?php echo Form::text('part_price', '€'.$data->price, ['id' => 'part_price', 'readonly']); ?> <?php echo Form::text('part_place1', $data->place1, ['id' => 'part_place1', 'readonly']); ?> <?php echo Form::text('part_place2', $data->place2, ['id' => 'part_place2', 'readonly']); ?> </div> </div> <div class="submit"> <?php echo Form::submit(trans('translations.send')); ?> </div> <?php echo Form::close(); ?> <div class="thanks inactive"> <h1><?php echo \Illuminate\Support\Facades\Lang::get('translations.thanksMail'); ?></h1> <p><?php echo \Illuminate\Support\Facades\Lang::get('translations.thanksMailMessage'); ?></p> </div> <div class="close"> <span class="horizontal"></span> <span class="vertical"></span> </div> </div> </div>