<?php $__env->startSection('content'); ?>
    <div class="contact-page mobile-page">

        <h1><?php echo Lang::get('pages/return.title'); ?></h1>


        <section id="return-form-wrapper" class="content-block column fluid-100">
            <div class="intro-block text-block">
                <?php if(Request::has('status') && Request::get('status') == 'success'): ?>
                    <?php echo $entity->description_two; ?>

                <?php else: ?>
                    <?php echo $entity->description; ?>

                <?php endif; ?>
            </div>
            <div class="form-wrapper">

                <?php if(!Request::has('status') || Request::get('status') != 'success'): ?>

                    <?php /*Start of Contact form*/ ?>
                    <?php echo Form::open(['url' => URL::action('return.form.submit',['lang'=> $shop->getLanguageService()->getCurrentLanguage()]), 'id' => 'returnform', 'enctype' => 'multipart/form-data']); ?>



                    <?php /* Check for errors */ ?>
                    <?php if($errors->any()): ?>

                    <?php endif; ?>

                    <div id="search-order">

                        <?php /*Also see return.js for form handling javascript code*/ ?>
                        <?php /* Bestelnummer */ ?>
                        <div class="input-holder ordernumber-holder <?php echo $errors->first('ordernumber','error'); ?>">
                            <?php echo $errors->first('ordernumber', '<span class="message error">:message</span>'); ?>

                            <label for="ordernumber"><?php echo Lang::get('form.order_number'); ?></label>
                            <input type="text" name="ordernumber" id="ordernumber"
                                   value="<?php echo \Input::old('ordernumber'); ?>">
                            <span class="info-button">i
                            <span class="tooltip">
                                <?php echo \Illuminate\Support\Facades\Lang::get('form.tooltip'); ?>
                            </span>
                            </span>


                        </div>

                        <div class="input-wrapper postalcode-house-number">

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

                                <label for="postalcode"><?php echo Lang::get('form.postal'); ?></label>
                                <input type="text" name="postalcode" id="postalcode"
                                       value="<?php echo \Input::old('postalcode'); ?>">
                            </div>

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

                                <label for="housenumber"><?php echo Lang::get('form.house_number_full'); ?></label>
                                <input type="text" name="housenumber" id="housenumber"
                                       value="<?php echo \Input::old('housenumber'); ?>">
                            </div>

                        </div>
                    </div>

                    <div id="order-information-validation">

                        <p class="success">
                            <span><?php echo \Illuminate\Support\Facades\Lang::get('form.order_validation_success'); ?></span>
                        </p>

                        <p class="false">
                            <span><?php echo \Illuminate\Support\Facades\Lang::get('form.order_validation_false'); ?></span>
                        </p>

                        <span class="btn btn-holder">
                            <?php echo \Illuminate\Support\Facades\Lang::get('form.order_validation_button'); ?>
                        </span>

                    </div>

                    <div id="orderinfoformpart">
                        <!--This div only is visible when the ordernumber, postalcode and house number is valid-->


                        <!--Holds the articles that need to be returned-->
                        <div id="articlesselector" data-translation-yes="<?php echo Lang::get('form.yes'); ?>" data-translation-free="<?php echo Lang::get('form.free'); ?>"
                             data-translation-no="<?php echo Lang::get('form.no'); ?>" data-translation-amount="<?php echo Lang::get('form.amount_ordered'); ?>" data-translation-return-amount="<?php echo Lang::get('form.amount_to_return'); ?>">
                            <h3><?php echo Lang::get('form.which_articles_to_return'); ?></h3>
                            <table class="returnproducts">
                                <tbody>
                                <!--filed by javascript. See return.js-->
                                </tbody>
                            </table>
                        </div>

                        <div id="returnreasonselector" class="returnreasonselector">
                            <h3><?php echo Lang::get('form.why_to_return'); ?></h3>

                            <div class="radio-wrapper">
                                <input id="returnreason1" value="article_does_not_fit" name="returnreason"
                                       type="radio">
                                <label for="returnreason1"><?php echo Lang::get('form.article_does_not_fit'); ?></label>
                            </div>
                            <div class="radio-wrapper">
                                <input id="returnreason2" value="article_damaged" name="returnreason" type="radio">
                                <label for="returnreason2"><?php echo Lang::get('form.article_damaged'); ?></label>
                            </div>
                            <div class="radio-wrapper">
                                <input id="returnreason3" value="article_expectations" name="returnreason"
                                       type="radio">
                                <label for="returnreason3"><?php echo Lang::get('form.article_expectations'); ?></label>
                            </div>
                        </div>


                        <div id="actiontopsselector" class="actiontopsselector">

                            <div class="tops-action-selectors">
                                <!--Only visible for returnreason 1 and 3-->
                                <h3><?php echo Lang::get('form.action_tops'); ?></h3>

                                <div class="radio-wrapper">
                                    <input id="returnaction1" value="return_for_known_filter" name="returnaction"
                                           type="radio">
                                    <label for="returnaction1"><?php echo Lang::get('form.return_for_known_filter'); ?></label>
                                </div>
                                <div class="radio-wrapper">
                                    <input id="returnaction2" value="return_for_unknown_filter" name="returnaction"
                                           type="radio">
                                    <label for="returnaction2"><?php echo Lang::get('form.return_for_unknown_filter'); ?></label>
                                </div>
                                <div class="radio-wrapper">
                                    <input id="returnaction3" value="return_for_refund" name="returnaction"
                                           type="radio">
                                    <label for="returnaction3"><?php echo Lang::get('form.return_for_refund'); ?></label>
                                </div>
                            </div>

                            <div id="returnforknownfilterformpart"> <!--Only visible for returnaction1-->
                                <div class="input-holder <?php echo $errors->first('knownfilterarticlenumber','error'); ?>">
                                    <?php echo $errors->first('knownfilterarticlenumber', '<span class="message error">:message</span>'); ?>

                                    <label for="knownfilterarticlenumber"><?php echo Lang::get('form.known_filter_article_number'); ?> <i class="required-icon">*</i></label>
                                    <input type="text"
                                           placeholder="<?php echo Lang::get('form.known_filter_article_number_example'); ?>"
                                           id="knownfilterarticlenumber" name='knownfilterarticlenumber'
                                           pattern="[A-Za-z0-9]*" value="<?php echo \Input::old('knownfilterarticlenumber'); ?>">
                                </div>
                            </div>

                            <div id="returnforunknownfilterformpart"> <!--Only visible for returnaction2-->
                                <h4><?php echo Lang::get('form.enter_dimensions_brand_and_photo'); ?></h4>

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

                                    <label for="unknownfilterunitbrand"><?php echo Lang::get('form.unknown_filter_unit_brand'); ?> <i class="required-icon">*</i></label>
                                    <input type="text" name="unknownfilterunitbrand" id="unknownfilterunitbrand" value="<?php echo \Input::old('unknownfilterunitbrand'); ?>">
                                </div>

                                <div class="input-grouper">

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

                                        <label for="unknownfilterlength"><?php echo Lang::get('form.unknown_filter_length'); ?> (mm) <i class="required-icon">*</i></label>
                                        <input type="number"
                                               placeholder="<?php echo Lang::get('form.unknown_filter_length_example'); ?>"
                                               name="unknownfilterlength" id="unknownfilterlength"
                                               pattern="[0-9]*"
                                               value="<?php echo \Input::old('unknownfilterlength'); ?>">
                                    </div>

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

                                        <label for="unknownfilterwidth"><?php echo Lang::get('form.unknown_filter_width'); ?> (mm) <i class="required-icon">*</i></label>
                                        <input type="number"
                                               placeholder="<?php echo Lang::get('form.unknown_filter_width_example'); ?>"
                                               name="unknownfilterwidth" id="unknownfilterwidth" pattern="[0-9]*"
                                               value="<?php echo \Input::old('unknownfilterwidth'); ?>">
                                    </div>

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

                                        <label for="unknownfilterheight"><?php echo Lang::get('form.unknown_filter_height'); ?> (mm) <i class="required-icon">*</i></label>
                                        <input type="number"
                                               placeholder="<?php echo Lang::get('form.unknown_filter_height_example'); ?>"
                                               name="unknownfilterheight" id="unknownfilterheight"
                                               pattern="[0-9]*"
                                               value="<?php echo \Input::old('unknownfilterheight'); ?>">
                                    </div>

                                </div>

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

                                    <label for="unknownfilterclass"><?php echo Lang::get('form.unknown_filter_class'); ?></label>

                                    <select class="styled" placeholder="<?php echo Lang::get('form.unknown_filter_class_example'); ?>"
                                            name="unknownfilterclass" id="unknownfilterclass">

                                        <option><?php echo \Illuminate\Support\Facades\Lang::get('form.unknown_filter_class_unknown'); ?></option>

                                        <?php foreach(['G2', 'G3', 'G4', 'M5', 'M6', 'F7', 'F8', 'F9'] as $option): ?>
                                            <option <?php if(\Input::old('unknownfilterclass', null) == $option): ?> selected <?php endif; ?> value="<?php echo $option; ?>"><?php echo $option; ?></option>
                                        <?php endforeach; ?>

                                    </select>

                                    <?php /*<input type="text"*/ ?>
                                           <?php /*placeholder="<?php echo Lang::get('form.unknown_filter_class_example'); ?>"*/ ?>
                                           <?php /*name="unknownfilterclass" id="unknownfilterclass" pattern="[A-Za-z0-9]*"*/ ?>
                                           <?php /*value="<?php echo \Input::old('unknownfilterclass'); ?>">*/ ?>
                                </div>

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

                                    <p class="label"><?php echo \Illuminate\Support\Facades\Lang::get('form.unknown_filter_photo'); ?></p>
                                    <div class="input-file-placeholder">
                                        <label for="unknownfilterphoto"><?php echo \Illuminate\Support\Facades\Lang::get('form.unknown_filter_no_photo'); ?></label>
                                        <span><?php echo \Illuminate\Support\Facades\Lang::get('form.unknown_filter_choose_photo'); ?></span>

                                        <input type="file" accept="image/*" name="unknownfilterphoto"
                                               id="unknownfilterphoto" pattern="[A-Za-z0-9]*"
                                               value="<?php echo \Input::old('unknownfilterphoto'); ?>">
                                    </div>
                                </div>
                            </div>

                            <div id="returnforrefundformpart"> <!--Only visible for returnaction3-->
                                <p><?php echo Lang::get('form.refund_explanation'); ?></p>
                            </div>
                        </div>

                        <div id="damagedformpart"> <!--Only visible for returnreason 2-->
                            <div class="input-holder <?php echo $errors->first('damagedfilteramount','error'); ?>">
                                <?php echo $errors->first('damagedfilteramount', '<span class="message error">:message</span>'); ?>

                                <label for="damagedfilteramount"><?php echo Lang::get('form.damaged_filter_amount'); ?> <i class="required-icon">*</i></label>
                                <input type="number" placeholder="<?php echo Lang::get('form.damaged_filter_amount_example'); ?>"
                                       name="damagedfilteramount" id="damagedfilteramount" pattern="[0-9]*"
                                       value="<?php echo \Input::old('damagedfilteramount'); ?>">
                            </div>

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

                                <label for="damagedfilterarticlenumber"><?php echo Lang::get('form.damaged_filter_article_number'); ?> <i class="required-icon">*</i></label>
                                <input type="text"
                                       placeholder="<?php echo Lang::get('form.damaged_filter_article_number_example'); ?>"
                                       id="damagedfilterarticlenumber" name='damagedfilterarticlenumber'
                                       pattern="[A-Za-z0-9]*" value="<?php echo \Input::old('damagedfilterarticlenumber'); ?>">
                            </div>

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

                                <?php /*<label for="damagedfilterphoto"><?php echo Lang::get('form.damaged_filter_photo'); ?></label>*/ ?>
                                <?php /*<input type="file" accept="image/*" name="damagedfilterphoto" id="damagedfilterphoto"*/ ?>
                                <?php /*pattern="[A-Za-z0-9]*" value="<?php echo \Input::old('damagedfilterphoto'); ?>">*/ ?>

                                <p class="label"><?php echo \Illuminate\Support\Facades\Lang::get('form.unknown_filter_photo'); ?> <i class="required-icon">*</i></p>
                                <div class="input-file-placeholder">
                                    <label for="damagedfilterphoto"><?php echo \Illuminate\Support\Facades\Lang::get('form.unknown_filter_no_photo'); ?></label>
                                    <span><?php echo \Illuminate\Support\Facades\Lang::get('form.unknown_filter_choose_photo'); ?></span>

                                    <input type="file" accept="image/*" name="damagedfilterphoto"
                                           id="damagedfilterphoto" pattern="[A-Za-z0-9]*"
                                           value="<?php echo \Input::old('damagedfilterphoto'); ?>">
                                </div>

                            </div>
                        </div>

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

                                <label for="returnnotes"><?php echo Lang::get('form.notes_title'); ?></label>
                                <?php /*<p>(<?php echo Lang::get('form.notes_sub_title'); ?>)</p>*/ ?>
                                <textarea name="returnnotes" id="returnnotes" cols="30"
                                          placeholder="<?php echo Lang::get('form.return_notes_placeholder'); ?>"
                                          rows="10"><?php echo \Input::old('returnnotes'); ?></textarea>
                            </div>
                        </div>

                        <?php echo $__env->make('partials.buttons.input',[
                            'text' => Lang::get('form.contact_btn'),
                            'class' => 'return_submit btn-holder',
                            'input' => Form::submit('')
                        ], array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>

                    </div>

                    <?php /* spam filter */ ?>
                    <div class="input-holder birthday">
                        <?php echo Form::text('birthday' ); ?>

                    </div>

                    <?php echo Form::hidden('route',Request::path()); ?>

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

                    <?php /*End of contact form*/ ?>
                <?php endif; ?>

            </div>

        </section>

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