<div class="pop-up-background">
    <div class="background"></div>
    <div class="pop-up">
        <header>
            <div class="logo"></div>
        </header>

        <div class="thanks">
            <h4>@lang('translations.thanksTitle')</h4>
            <p>@lang('translations.thanksText')</p>
            <div class="close"><p>@lang('translations.close')</p></div>
        </div>
        {{ Form::open(['method' => 'post', 'url' => '/mailInformation', 'id'=>'popUpMail']) }}
        <section class="input">
{{--            <h5>@lang('translations.howCanWeHelp')</h5>--}}
            <h2 class="in-touch">@lang('translations.keepUptodateLocation')</h2>
            <div class="checkBox hide">
                @if((isset($data->city) && $data->city != null ))
                    {{ Form::checkbox($data->city, $data->city, 1,['id'=>'city_name']) }}
                @elseif(\Input::has('city') && (\Input::get('city') != '')) )
                    {{ Form::checkbox(\Input::get('city'), \Input::get('city'), 1,['id'=>'city_name']) }}
                @endif
                {{ Form::checkbox(\Input::get('city'), \Input::get('city'), 1,['id'=>'city_name']) }}
                {{ Form::label('city_name', trans('translations.keepUptodateLocation')) }}
            </div>


        </section>
        <hr>
        <section class="form">
            <h5>@lang('translations.yourInfo')</h5>

            <div class="contact-info">
                <div class="input-rows">
                    {{ Form::label('name', trans('translations.name')) }}
                    {{ Form::text('name', null ,['id'=>'name', 'placeholder' => trans('translations.name')]) }}
                </div>
                <div class="input-rows">
                    {{ Form::label('sur_name', trans('translations.surName')) }}
                    {{ Form::text('sur_name', null ,['id'=>'sur_name', 'placeholder' => trans('translations.surName')]) }}
                </div>
                <div class="input-rows">
                    {{ Form::label('email', trans('translations.email')) }}
                    {{ Form::email('email', null ,['id'=>'email', 'placeholder' => trans('translations.email')]) }}
                </div>
                <div class="input-rows">
                    {{ Form::label('phone', trans('translations.phone')) }}
                    {{ Form::text('phone', null ,['id'=>'phone', 'placeholder' => trans('translations.phone')]) }}
                </div>
                <div class="input-rows text-area-row">
                    {{ Form::label('extra_message', trans('translations.extraMessage')) }}
                    {{ Form::textarea('extra_message', null ,['id'=>'extra_message', 'rows'=>'6', 'data-autoresize'=>'', 'placeholder' => trans('translations.extraMessage')]) }}
                </div>
                <div class="hide">
                    {{ Form::submit('Zoeken') }}
                </div>
            </div>
        </section>
        {{ Form::close() }}

        <div id="sendButton">
            <p>@lang('translations.sendButton')</p>
        </div>

    </div>
</div>