File: D:/HostingSpaces/SBogers10/ijzerenman.komma.pro/app/storage/views/43ea1e846422a6ea3e26512f82029bf8
<?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( ! Request::has('status') || Request::get('status') != 'success'): ?>
<h2>Jouw gegevens</h2>
<?php echo Form::open([
'url' => URL::action('form.offer.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 Form::label('company','Organisatie'); ?>
<?php echo Form::text('company',$data['company']); ?>
</div>
<?php /*<div class="input-holder">
<?php echo Form::label('address','Adres'); ?>
<?php echo Form::text('address',$data['address']); ?>
</div>
<div class="input-holder">
<?php echo Form::label('postal','Postcode'); ?>
<?php echo Form::text('postal',$data['postal']); ?>
</div>
<div class="input-holder">
<?php echo Form::label('city','Woonplaats'); ?>
<?php echo Form::text('city',$data['city']); ?>
</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 $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>
<?php /*<div class="input-holder <?php echo $errors->first('date',' error');; ?>">
<?php echo $errors->first('date','<span class="message error">:message</span>');; ?>
<?php echo Form::label('date','Datum/data'); ?>
<?php echo Form::text('date',$data['date']); ?>
</div>
<div class="input-holder <?php echo $errors->first('time',' error');; ?>">
<?php echo $errors->first('time','<span class="message error">:message</span>');; ?>
<?php echo Form::label('time','Tijdstip'); ?>
<?php echo Form::text('time',$data['time']); ?>
</div>*/ ?>
<div class="input-holder <?php echo $errors->first('event',' error');; ?>">
<?php echo $errors->first('event','<span class="message error">:message</span>');; ?>
<?php echo Form::label('event','Soort evenement'); ?>
<?php echo Form::text('event',$data['event']); ?>
</div>
<?php /*<div class="input-holder <?php echo $errors->first('party',' error');; ?>">
<?php echo $errors->first('party','<span class="message error">:message</span>');; ?>
<?php echo Form::label('party','Gezelschap'); ?>
<?php echo Form::text('party',$data['party']); ?>
</div>
<div class="input-holder">
<?php echo Form::label('catering','Wensen horeca'); ?>
<?php echo Form::textarea('catering',$data['catering']); ?>
</div>*/ ?>
<div class="input-holder">
<?php echo Form::label('notes','Bericht'); ?>
<?php echo Form::textarea('notes',$data['notes']); ?>
</div>
<div class="input-holder checkbox">
<?php echo Form::checkbox('newsletter','ja',null,['id'=>'newsletter']); ?>
<?php echo Form::label('newsletter','Schrijf me in voor de nieuwsbrief'); ?>
</div>
<p style="font-size: 0.9em; margin-top: 20px; margin-bottom: 0;">
Wij bewaren je gegevens om je beter van dienst te kunnen zijn.<br/>
Lees <a href="/ijzeren-man/privacy">hier</a> hoe we omgaan met je persoonsgegevens.
</p>
<?php echo Form::submit('Verzenden',['class' => 'btn']); ?>
<?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 else: ?>
<h2>Bedankt!</h2>
<p>Bedankt voor het aanvragen van meer informatie over jouw event. We zullen zo spoedig mogelijk contact opnemen om de gewenste informatie te voorzien.</p>
<?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(); ?>