File: D:/HostingSpaces/SBogers10/topswtw.komma.pro/app/views/mobile/pages/return.blade.php
@extends('mobile.master')
@section('content')
<div class="contact-page mobile-page">
<h1>{{ Lang::get('pages/return.title') }}</h1>
<section id="return-form-wrapper" class="content-block column fluid-100">
<div class="intro-block text-block">
@if(Request::has('status') && Request::get('status') == 'success')
{{ $entity->description_two }}
@else
{{ $entity->description }}
@endif
</div>
<div class="form-wrapper">
@if(!Request::has('status') || Request::get('status') != 'success')
{{--Start of Contact form--}}
{{ Form::open(['url' => URL::action('return.form.submit',['lang'=> $shop->getLanguageService()->getCurrentLanguage()]), 'id' => 'returnform', 'enctype' => 'multipart/form-data']) }}
{{-- Check for errors --}}
@if($errors->any())
@endif
<div id="search-order">
{{--Also see return.js for form handling javascript code--}}
{{-- Bestelnummer --}}
<div class="input-holder ordernumber-holder {{ $errors->first('ordernumber','error') }}">
{{ $errors->first('ordernumber', '<span class="message error">:message</span>') }}
<label for="ordernumber">{{ Lang::get('form.order_number') }}</label>
<input type="text" name="ordernumber" id="ordernumber"
value="{{ \Input::old('ordernumber') }}">
<span class="info-button">i
<span class="tooltip">
@lang('form.tooltip')
</span>
</span>
</div>
<div class="input-wrapper postalcode-house-number">
{{-- Postcode --}}
<div class="input-holder {{ $errors->first('postalcode','error') }}">
{{ $errors->first('postalcode', '<span class="message error">:message</span>') }}
<label for="postalcode">{{ Lang::get('form.postal') }}</label>
<input type="text" name="postalcode" id="postalcode"
value="{{ \Input::old('postalcode') }}">
</div>
{{-- Huisnummer --}}
<div class="input-holder {{ $errors->first('house_number','error') }}">
{{ $errors->first('house_number', '<span class="message error">:message</span>') }}
<label for="housenumber">{{ Lang::get('form.house_number_full') }}</label>
<input type="text" name="housenumber" id="housenumber"
value="{{ \Input::old('housenumber') }}">
</div>
</div>
</div>
<div id="order-information-validation">
<p class="success">
<span>@lang('form.order_validation_success')</span>
</p>
<p class="false">
<span>@lang('form.order_validation_false')</span>
</p>
<span class="btn btn-holder">
@lang('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="{{ Lang::get('form.yes') }}" data-translation-free="{{ Lang::get('form.free') }}"
data-translation-no="{{ Lang::get('form.no') }}" data-translation-amount="{{ Lang::get('form.amount_ordered') }}" data-translation-return-amount="{{ Lang::get('form.amount_to_return') }}">
<h3>{{ 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>{{ 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">{{ 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">{{ Lang::get('form.article_damaged') }}</label>
</div>
<div class="radio-wrapper">
<input id="returnreason3" value="article_expectations" name="returnreason"
type="radio">
<label for="returnreason3">{{ 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>{{ 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">{{ 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">{{ 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">{{ Lang::get('form.return_for_refund') }}</label>
</div>
</div>
<div id="returnforknownfilterformpart"> <!--Only visible for returnaction1-->
<div class="input-holder {{ $errors->first('knownfilterarticlenumber','error') }}">
{{ $errors->first('knownfilterarticlenumber', '<span class="message error">:message</span>') }}
<label for="knownfilterarticlenumber">{{ Lang::get('form.known_filter_article_number') }} <i class="required-icon">*</i></label>
<input type="text"
placeholder="{{ Lang::get('form.known_filter_article_number_example') }}"
id="knownfilterarticlenumber" name='knownfilterarticlenumber'
pattern="[A-Za-z0-9]*" value="{{ \Input::old('knownfilterarticlenumber') }}">
</div>
</div>
<div id="returnforunknownfilterformpart"> <!--Only visible for returnaction2-->
<h4>{{ Lang::get('form.enter_dimensions_brand_and_photo') }}</h4>
<div class="input-holder {{ $errors->first('unknownfilterunitbrand','error') }}">
{{ $errors->first('unknownfilterunitbrand', '<span class="message error">:message</span>') }}
<label for="unknownfilterunitbrand">{{ Lang::get('form.unknown_filter_unit_brand') }} <i class="required-icon">*</i></label>
<input type="text" name="unknownfilterunitbrand" id="unknownfilterunitbrand" value="{{ \Input::old('unknownfilterunitbrand') }}">
</div>
<div class="input-grouper">
<div class="input-holder {{ $errors->first('unknownfilterlength','error') }}">
{{ $errors->first('unknownfilterlength', '<span class="message error">:message</span>') }}
<label for="unknownfilterlength">{{ Lang::get('form.unknown_filter_length') }} (mm) <i class="required-icon">*</i></label>
<input type="number"
placeholder="{{ Lang::get('form.unknown_filter_length_example') }}"
name="unknownfilterlength" id="unknownfilterlength"
pattern="[0-9]*"
value="{{ \Input::old('unknownfilterlength') }}">
</div>
<div class="input-holder {{ $errors->first('unknownfilterwidth','error') }}">
{{ $errors->first('unknownfilterwidth', '<span class="message error">:message</span>') }}
<label for="unknownfilterwidth">{{ Lang::get('form.unknown_filter_width') }} (mm) <i class="required-icon">*</i></label>
<input type="number"
placeholder="{{ Lang::get('form.unknown_filter_width_example') }}"
name="unknownfilterwidth" id="unknownfilterwidth" pattern="[0-9]*"
value="{{ \Input::old('unknownfilterwidth') }}">
</div>
<div class="input-holder {{ $errors->first('unknownfilterheight','error') }}">
{{ $errors->first('unknownfilterheight', '<span class="message error">:message</span>') }}
<label for="unknownfilterheight">{{ Lang::get('form.unknown_filter_height') }} (mm) <i class="required-icon">*</i></label>
<input type="number"
placeholder="{{ Lang::get('form.unknown_filter_height_example') }}"
name="unknownfilterheight" id="unknownfilterheight"
pattern="[0-9]*"
value="{{ \Input::old('unknownfilterheight') }}">
</div>
</div>
<div class="input-holder {{ $errors->first('unknownfilterclass','error') }}">
{{ $errors->first('unknownfilterclass', '<span class="message error">:message</span>') }}
<label for="unknownfilterclass">{{ Lang::get('form.unknown_filter_class') }}</label>
<select class="styled" placeholder="{{ Lang::get('form.unknown_filter_class_example') }}"
name="unknownfilterclass" id="unknownfilterclass">
<option>@lang('form.unknown_filter_class_unknown')</option>
@foreach(['G2', 'G3', 'G4', 'M5', 'M6', 'F7', 'F8', 'F9'] as $option)
<option @if(\Input::old('unknownfilterclass', null) == $option) selected @endif value="{{$option}}">{{$option}}</option>
@endforeach
</select>
{{--<input type="text"--}}
{{--placeholder="{{ Lang::get('form.unknown_filter_class_example') }}"--}}
{{--name="unknownfilterclass" id="unknownfilterclass" pattern="[A-Za-z0-9]*"--}}
{{--value="{{ \Input::old('unknownfilterclass') }}">--}}
</div>
<div class="input-holder {{ $errors->first('unknownfilterphoto','error') }}">
{{ $errors->first('unknownfilterphoto', '<span photo="message error">:message</span>') }}
<p class="label">@lang('form.unknown_filter_photo')</p>
<div class="input-file-placeholder">
<label for="unknownfilterphoto">@lang('form.unknown_filter_no_photo')</label>
<span>@lang('form.unknown_filter_choose_photo')</span>
<input type="file" accept="image/*" name="unknownfilterphoto"
id="unknownfilterphoto" pattern="[A-Za-z0-9]*"
value="{{ \Input::old('unknownfilterphoto') }}">
</div>
</div>
</div>
<div id="returnforrefundformpart"> <!--Only visible for returnaction3-->
<p>{{ Lang::get('form.refund_explanation') }}</p>
</div>
</div>
<div id="damagedformpart"> <!--Only visible for returnreason 2-->
<div class="input-holder {{ $errors->first('damagedfilteramount','error') }}">
{{ $errors->first('damagedfilteramount', '<span class="message error">:message</span>') }}
<label for="damagedfilteramount">{{ Lang::get('form.damaged_filter_amount') }} <i class="required-icon">*</i></label>
<input type="number" placeholder="{{ Lang::get('form.damaged_filter_amount_example') }}"
name="damagedfilteramount" id="damagedfilteramount" pattern="[0-9]*"
value="{{ \Input::old('damagedfilteramount') }}">
</div>
<div class="input-holder {{ $errors->first('damagedfilterarticlenumber','error') }}">
{{ $errors->first('damagedfilterarticlenumber', '<span class="message error">:message</span>') }}
<label for="damagedfilterarticlenumber">{{ Lang::get('form.damaged_filter_article_number') }} <i class="required-icon">*</i></label>
<input type="text"
placeholder="{{ Lang::get('form.damaged_filter_article_number_example') }}"
id="damagedfilterarticlenumber" name='damagedfilterarticlenumber'
pattern="[A-Za-z0-9]*" value="{{ \Input::old('damagedfilterarticlenumber') }}">
</div>
<div class="input-holder {{ $errors->first('damagedfilterphoto','error') }}">
{{ $errors->first('damagedfilterphoto', '<span photo="message error">:message</span>') }}
{{--<label for="damagedfilterphoto">{{ Lang::get('form.damaged_filter_photo') }}</label>--}}
{{--<input type="file" accept="image/*" name="damagedfilterphoto" id="damagedfilterphoto"--}}
{{--pattern="[A-Za-z0-9]*" value="{{ \Input::old('damagedfilterphoto') }}">--}}
<p class="label">@lang('form.unknown_filter_photo') <i class="required-icon">*</i></p>
<div class="input-file-placeholder">
<label for="damagedfilterphoto">@lang('form.unknown_filter_no_photo')</label>
<span>@lang('form.unknown_filter_choose_photo')</span>
<input type="file" accept="image/*" name="damagedfilterphoto"
id="damagedfilterphoto" pattern="[A-Za-z0-9]*"
value="{{ \Input::old('damagedfilterphoto') }}">
</div>
</div>
</div>
<div id="notes">
<div class="input-holder {{ $errors->first('returnnotes','error') }}">
{{ $errors->first('returnnotes', '<span class="message error">:message</span>') }}
<label for="returnnotes">{{ Lang::get('form.notes_title') }}</label>
{{--<p>({{ Lang::get('form.notes_sub_title') }})</p>--}}
<textarea name="returnnotes" id="returnnotes" cols="30"
placeholder="{{ Lang::get('form.return_notes_placeholder') }}"
rows="10">{{ \Input::old('returnnotes') }}</textarea>
</div>
</div>
@include('partials.buttons.input',[
'text' => Lang::get('form.contact_btn'),
'class' => 'return_submit btn-holder',
'input' => Form::submit('')
])
</div>
{{-- spam filter --}}
<div class="input-holder birthday">
{{ Form::text('birthday' ) }}
</div>
{{ Form::hidden('route',Request::path()) }}
{{ Form::close() }}
{{--End of contact form--}}
@endif
</div>
</section>
</div>
@stop