@extends('mobile.master')

@section('content')
    <div class="contact-page mobile-page">

        <h1>{{ Lang::get('pages/return.title') }}</h1>


        <article class="text-block white {{$entity->code_name}}">

            @if(Request::has('status') && Request::get('status') == 'success')

                {{ $entity->description_two }}
            @else
                {{ $entity->description }}

                {{--Start of Contact form--}}
                {{ Form::open(['url' => URL::action('return.form.submit',['lang'=> $shop->getLanguageService()->getCurrentLanguage()])]) }}


                {{-- Check for errors --}}
                @if($errors->any())


                @endif

                {{-- Naam --}}
                <div class="input-holder {{ $errors->first('name','error') }}">
                    {{ $errors->first('name', '<span class="message error">:message</span>') }}
                    {{ Form::label('name',Lang::get('form.first_name'). ' '.Lang::get('form.and').' ' .Lang::get('form.last_name')) }}
                    {{ Form::text('name',\Input::old('name') ) }}
                </div>

                {{-- E-mail --}}
                <div class="input-holder column-half {{ $errors->first('email','error') }}">
                    {{ $errors->first('email', '<span class="message error">:message</span>') }}
                    {{ Form::label('email',Lang::get('form.email')) }}
                    {{ Form::text('email',\Input::old('email') ) }}
                </div>

                {{-- Phone --}}
                <div class="input-holder column-half right {{ $errors->first('phone','error') }}">
                    {{ Form::label('phone',Lang::get('form.telephone')) }}
                    {{ Form::text('phone',\Input::old('phone') ) }}
                </div>


                {{-- order_number --}}
                <div class="input-holder {{ $errors->first('order_number','error') }}">
                    {{ $errors->first('order_number', '<span class="message error">:message</span>') }}
                    {{ Form::label('order_number',Lang::get('pages/return.order_number')) }}
                    {{ Form::text('order_number',\Input::old('order_number') ) }}
                </div>

                {{-- products --}}
                <div class="input-holder {{ $errors->first('products','error') }}">
                    {{ $errors->first('products', '<span class="message error">:message</span>') }}
                    {{ Form::label('products',Lang::get('pages/return.products')) }}
                    {{ Form::text('products',\Input::old('products') ) }}
                </div>


                {{-- reason --}}
                <div class="input-holder {{ $errors->first('reason','error') }}">
                    {{ $errors->first('reason', '<span class="message error">:message</span>') }}
                    {{ Form::label('reason',Lang::get('pages/return.reason')) }}
                    {{ Form::textarea('reason',\Input::old('reason') ,['class'=>'small']) }}
                </div>

                {{-- remarks --}}
                <div class="input-holder {{ $errors->first('remarks','error') }}">
                    {{ $errors->first('remarks', '<span class="message error">:message</span>') }}
                    {{ Form::label('remarks',Lang::get('pages/return.remarks')) }}
                    {{ Form::textarea('remarks',\Input::old('message') ,['class'=>'small']) }}
                </div>

                {{-- spam filter --}}
                <div class="input-holder birthday">
                    {{ Form::text('birthday' ) }}
                </div>

                <div class="btn-holder">
                    @include('partials.buttons.input',[
                        'text' => Lang::get('form.contact_btn'),
                        'input' => Form::submit('')
                    ])
                </div>

                {{ Form::hidden('route',Request::path()) }}
                {{ Form::close() }}
                {{--End of contact form--}}
            @endif

        </article>


    </div>
@stop