<h2>1. <?php echo Lang::get('checkout/checkout.invoice.title'); ?></h2> <?php if( $errors->count() > 1): ?> <span class="global-message error"><?php echo Lang::get('validation.custom.global.someErrors'); ?></span><br/> <?php elseif( $errors->count() > 0): ?> <span class="global-message error"><?php echo Lang::get('validation.custom.global.oneError'); ?></span><br/> <?php endif; ?> <div class="input-holder radio multiple-radio"> <div class="radio-placeholder"> <?php echo Form::radio('order-as','individual', true, ['id' => 'order-as-individual', 'ng-model' => 'orderAs', 'ng-init' => 'orderAs = \''.($checkout->customer()->get('order-as') ? $checkout->customer()->get('order-as') : 'individual').'\'']); ?> <label for="order-as-individual" class="radio-label"><?php echo ucfirst(Lang::get('form.individual')); ?></label> </div> <div class="radio-placeholder"> <?php echo Form::radio('order-as','company', false, ['id' => 'order-as-company', 'ng-model' => 'orderAs']); ?> <label for="order-as-company" class="radio-label"><?php echo ucfirst(Lang::get('form.company')); ?></label> </div> <div class="radio-placeholder"> <?php echo Form::radio('invoice-title','mr',$checkout->customer()->get('invoice-title') == 'mr' || $checkout->customer()->get('invoice-title') == '', ['id' => 'invoice-title-mr']); ?> <label for="invoice-title-mr" class="radio-label"><?php echo ucfirst(Lang::get('form.title_mr')); ?></label> </div> <div class="radio-placeholder"> <?php echo Form::radio('invoice-title', 'mrs', $checkout->customer()->get('invoice-title') == 'mrs',['id'=>'invoice-title-mrs']); ?> <label for="invoice-title-mrs" class="radio-label"><?php echo ucfirst(Lang::get('form.title_mrs')); ?></label> </div> <?php if( Shop::getLanguageService()->getCurrentLanguage() == 'en' ): ?> <div class="radio-placeholder"> <?php echo Form::radio('invoice-title', 'ms', $checkout->customer()->get('invoice-title') == 'ms',['id'=>'invoice-title-ms']); ?> <label for="invoice-title-ms" class="radio-label"><?php echo ucfirst(Lang::get('form.title_ms')); ?></label> </div> <?php endif; ?> </div> <?php if( $errors->has('invoice-first-name') || $errors->has('invoice-last-name') ): ?> <span class="message error"><?php echo Lang::get('validation.custom.fullName.required'); ?></span><br/> <?php endif; ?> <div class="mobile-form-name"> <label><?php echo \Illuminate\Support\Facades\Lang::get('mobile.name'); ?></label> <div class="input-holder<?php echo $errors->first('invoice-first-name',' error'); ?>"> <?php echo Form::text('invoice-first-name', $checkout->customer()->get('invoice-first-name'), ['placeholder' => Lang::get('mobile.first_name'), 'autocomplete' => 'given-name']); ?> </div> <?php if( Shop::getLanguageService()->getCurrentLanguage() != 'en' ): ?> <div class="input-holder"> <?php echo Form::text('invoice-name-insertion', $checkout->customer()->get('invoice-name-insertion') , ['placeholder' => Lang::get('mobile.in-between'), 'autocomplete' => 'prevent' ]); ?> </div> <?php endif; ?> <div class="input-holder last<?php echo $errors->first('invoice-last-name',' error'); ?>"> <?php echo Form::text('invoice-last-name', $checkout->customer()->get('invoice-last-name'), ['placeholder' => Lang::get('mobile.last_name'), 'autocomplete' => 'family-name']); ?> </div> </div> <div class="input-holder<?php echo $errors->first('invoice-email',' error'); ?>"> <?php echo $errors->first('invoice-email','<span class="message error">:message</span>'); ?> <?php echo Form::label('invoice-email', Lang::get('mobile.email') ); ?> <?php echo Form::email('invoice-email', $checkout->customer()->get('invoice-email'), ['placeholder' => Lang::get('mobile.email')]); ?> </div> <div class="input-holder<?php echo $errors->first('invoice-telephone',' error'); ?>"> <?php echo $errors->first('invoice-telephone','<span class="message error">:message</span>'); ?> <?php /*Phone number for the DE and AT shop is required*/ ?> <?php echo Form::label('invoice-telephone', Lang::get('form.telephone').(Shop::getShop()->id !=2 ?' (' . Lang::get('form.optional') . ')':'') ); ?> <?php echo Form::tel('invoice-telephone', $checkout->customer()->get('invoice-telephone'), ['placeholder' => Lang::get('form.telephone')]); ?> </div> <div class="input-holder<?php echo $errors->first('invoice-company',' error'); ?>" ng-show="orderAs == 'company'"> <?php echo $errors->first('invoice-company','<span class="message error">:message</span>'); ?> <?php echo Form::label('invoice-company', Lang::get('mobile.company_name') . '' ); ?> <?php echo Form::text('invoice-company', $checkout->customer()->get('invoice-company'), [ 'placeholder' => Lang::get('mobile.company_name'), 'ng-model' => 'invoiceCompany', 'ng-init' => 'invoiceCompany = \''.$checkout->customer()->get('invoice-company').'\'' ]); ?> </div> <div class="input-holder<?php echo $errors->first('invoice-company-vat',' error'); ?>" ng-show="invoiceCompany && invoiceCountry != 'NL' && orderAs == 'company'"> <?php echo $errors->first('invoice-company-vat','<span class="message error">:message</span>'); ?> <?php echo Form::label('invoice-company-vat', Lang::get('form.company_name_vat').' '.Lang::get('mobile.optional')); ?> <?php echo Form::text('invoice-company-vat', $checkout->customer()->get('invoice-company-vat'), [ 'placeholder' => Lang::get('form.company_name_vat'), 'ng-model' => 'invoiceCompanyVat', 'ng-init' => 'invoiceCompanyVat = \''.$checkout->customer()->get('invoice-company-vat').'\'', 'vat-validation' => '' ]); ?> </div> <div class="input-holder<?php echo $errors->first('invoice-street',' error'); ?>"> <?php echo $errors->first('invoice-street','<span class="message error">:message</span>'); ?> <?php echo Form::label('invoice-street', Lang::get('mobile.street')); ?> <?php echo Form::text('invoice-street', $checkout->customer()->get('invoice-street'), ['placeholder' => Lang::get('mobile.street')]); ?> </div> <div class="mobile-multiple-inputs"> <?php echo Form::label('invoice-house-number', Lang::get('mobile.house_number')); ?> <?php echo $errors->first('invoice-house-number','<span class="message error">:message</span>'); ?> <div class="input-holder first-input <?php echo $errors->first('invoice-house-number',' error'); ?>"> <?php echo Form::number('invoice-house-number', $checkout->customer()->get('invoice-house-number'), ['placeholder' => Lang::get('mobile.house_number'), 'autocomplete' => 'prevent']); ?> </div> <div class="input-holder second-input"> <?php echo Form::text('invoice-house-number-suffix', $checkout->customer()->get('invoice-house-number-suffix'), ['placeholder' => Lang::get('mobile.house_number_suffix'), 'autocomplete' => 'prevent']); ?> </div> </div> <div class="mobile-multiple-inputs"> <?php echo Form::label('invoice-postal', Lang::get('mobile.postal') ); ?> <?php if( $errors->has('invoice-postal') || $errors->has('invoice-city') ): ?> <span class="message error"><?php echo Lang::get('validation.custom.fullAddress.required'); ?></span><br/> <?php endif; ?> <div class="input-holder first-input <?php echo $errors->first('invoice-postal',' error'); ?>"> <?php echo Form::text('invoice-postal', $checkout->customer()->get('invoice-postal'), ['placeholder' => Lang::get('mobile.postal')]); ?> </div> <div class="input-holder second-input <?php echo $errors->first('invoice-city',' error'); ?>"> <?php echo Form::text('invoice-city', $checkout->customer()->get('invoice-city'), ['placeholder' => Lang::get('mobile.city')]); ?> </div> </div> <div class="input-holder select-row <?php echo $errors->first('invoice-country',' error'); ?>"> <?php echo $errors->first('invoice-country','<span class="message error">:message</span>'); ?> <?php echo Form::label('invoice-country', Lang::get('form.country')); ?> <?php echo Form::select('invoice-country', $countries, $checkout->customer()->get('invoice-country'),[ 'ng-model' => 'invoiceCountry', 'ng-change' => 'setShippingCosts()', 'ng-init' => 'invoiceCountry = \''.$checkout->customer()->get('invoice-country').'\'; setShippingCosts()' ]); ?> </div>