@extends('layouts.master')

@section('banner')

    {{-- Maybe a small one? or no banner? --}}

@stop

@section('content')

    @include('layouts.partials.breadcrumb')
    <div class="content-block form-page">
        <div class="description {{ $class or '' }}">
            <h2>{{ $formPage->title }}</h2>

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

            {{ $formPage->description }}
        </div>
        <div class="form-block">

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

            @if($entity->codeName() != 'success')

            <h2>Jouw gegevens</h2>

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

            {{ Form::open([
                'url' => URL::action('form.callMeBack.process')
            ]) }}

            <div class="input-holder {{ $errors->first('name',' error'); }}">
                {{ $errors->first('name','<span class="message error">:message</span>'); }}
                {{ Form::label('name','Voor- en achternaam') }}
                {{ Form::text('name',$data['name']) }}
            </div>

            <div class="input-holder {{ $errors->first('phone',' error'); }}">
                {{ $errors->first('phone','<span class="message error">:message</span>'); }}
                {{ Form::label('phone','Telefoonnummer') }}
                {{ Form::text('phone',$data['phone']) }}
            </div>

            <div class="input-holder {{ $errors->first('email',' error'); }}">
                {{ $errors->first('email','<span class="message error">:message</span>'); }}
                {{ Form::label('email','E-mail') }}
                {{ Form::text('email',$data['email']) }}
            </div>

            <div class="input-holder">
                {{ Form::label('notes','Opmerkingen') }}
                {{ Form::textarea('notes',$data['notes']) }}
            </div>

            {{ Form::submit('Verzenden',['class' => 'btn']) }}

            {{ Form::hidden('formName',$entity->codeName()) }}
            {{ Form::hidden('global',$global->name) }}
            {{ Form::hidden('redirect_uri',$entity->route) }}
            {{ Form::hidden('success_route',$successRoute) }}

            {{ Form::close() }}
            @endif

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

    {{ $blocks }}

@stop