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Server: Microsoft-IIS/8.5
System: Windows NT YDAWBH120 6.3 build 9600 (Windows Server 2012 R2 Standard Edition) AMD64
User: tentjecom_web (0)
PHP: 7.4.14
Disabled: NONE
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File: D:/HostingSpaces/SBogers10/ijzerenman.komma.pro/app/storage/views/3948c5be1781d630d5441965b4e873dd
<?php $__env->startSection('banner'); ?>

    <?php /* Maybe a small one? or no banner? */ ?>

<?php $__env->stopSection(); ?>

<?php $__env->startSection('content'); ?>

    <?php echo $__env->make('layouts.partials.breadcrumb', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>
    <div class="content-block form-page">
        <div class="description <?php echo isset($class) ? $class : ''; ?>">
            <h2><?php echo $formPage->title; ?></h2>

            <div class="waves-holder">
                <span class="waves"></span>
            </div>

            <?php echo $formPage->description; ?>

        </div>
        <div class="form-block">

            <div class="water-effect-background"></div>
            <div class="water-effect-background vertical"></div>

            <?php if($entity->codeName() != 'success'): ?>

            <h2>Jouw gegevens</h2>

            <p>
                Naar aanleiding van je verzoek zullen wij zo<br />
                spoedig mogelijk contact opnemen.
            </p>

            <?php echo Form::open([
                'url' => URL::action('form.callMeBack.process')
            ]); ?>


            <div class="input-holder <?php echo $errors->first('name',' error');; ?>">
                <?php echo $errors->first('name','<span class="message error">:message</span>');; ?>

                <?php echo Form::label('name','Voor- en achternaam'); ?>

                <?php echo Form::text('name',$data['name']); ?>

            </div>

            <div class="input-holder <?php echo $errors->first('phone',' error');; ?>">
                <?php echo $errors->first('phone','<span class="message error">:message</span>');; ?>

                <?php echo Form::label('phone','Telefoonnummer'); ?>

                <?php echo Form::text('phone',$data['phone']); ?>

            </div>

            <div class="input-holder <?php echo $errors->first('email',' error');; ?>">
                <?php echo $errors->first('email','<span class="message error">:message</span>');; ?>

                <?php echo Form::label('email','E-mail'); ?>

                <?php echo Form::text('email',$data['email']); ?>

            </div>

            <div class="input-holder">
                <?php echo Form::label('notes','Opmerkingen'); ?>

                <?php echo Form::textarea('notes',$data['notes']); ?>

            </div>

            <?php echo Form::submit('Verzenden',['class' => 'btn']); ?>


            <?php echo Form::hidden('formName',$entity->codeName()); ?>

            <?php echo Form::hidden('global',$global->name); ?>

            <?php echo Form::hidden('redirect_uri',$entity->route); ?>

            <?php echo Form::hidden('success_route',$successRoute); ?>


            <?php echo Form::close(); ?>

            <?php endif; ?>

        </div>
    </div>
    <div class="separator"></div>

    <?php echo $blocks; ?>


<?php $__env->stopSection(); ?>

<?php echo $__env->make('layouts.master', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>