<div class="contact-form">

    <?php if(!$page->send): ?>

        <h2><?php echo KommaLang::get('becomeMemberForm'); ?></h2>

        <?php echo Form::open(['url' => URL::to(route('subscribe.process'), [], true), 'id' => 'subscribeForm', 'class' => 'form']); ?>


        <div class="supportType form-element radioboxes">
            <p class="label-replacement">
                <?php echo \Illuminate\Support\Facades\Lang::get('translations.supportType'); ?>
            </p>
            <label>
                <?php echo Form::radio('supportType', 'donation', true); ?>

                <span><?php echo \Illuminate\Support\Facades\Lang::get('translations.supportDonation'); ?></span>
            </label>
            <label>
                <?php echo Form::radio('supportType', 'member'); ?>

                <span><?php echo \Illuminate\Support\Facades\Lang::get('translations.supportMember'); ?></span>
            </label>
        </div>

        <div class="name form-element ">
            <?php echo Form::label('name',trans('translations.name')); ?>

            <span class="error-message <?php echo ($errors->has('name')? 'active' :''); ?>"><?php echo $errors->first('name'); ?></span>
            <?php echo Form::text('name', Input::old('name'), ['id' => 'name']); ?>

        </div>

        <div class="email form-element">
            <?php echo Form::label('email',trans('translations.email')); ?>

            <span class="error-message <?php echo ($errors->has('email')? 'active' :''); ?>"><?php echo $errors->first('email'); ?></span>
            <?php echo Form::email('email', Input::old('email'), ['id' => 'email']); ?>

        </div>

        <div class="address form-element">
            <?php echo Form::label('address',trans('translations.address')); ?>

            <span class="error-message <?php echo ($errors->has('address')? 'active' :''); ?>"><?php echo $errors->first('address'); ?></span>
            <?php echo Form::text('address', Input::old('address'), ['id' => 'address']); ?>

        </div>
    
        <div class="city form-element">
            <?php echo Form::label('city',trans('translations.city')); ?>

            <span class="error-message <?php echo ($errors->has('city')? 'active' :''); ?>"><?php echo $errors->first('city'); ?></span>
            <?php echo Form::text('city', Input::old('city'), ['id' => 'city']); ?>

        </div>

        <div class="phone form-element">
            <?php echo Form::label('phone',trans('translations.phone')); ?>

            <span class="error-message <?php echo ($errors->has('phone')? 'active' :''); ?>"><?php echo $errors->first('phone'); ?></span>
            <?php echo Form::text('phone', Input::old('phone'), ['id' => 'phone']); ?>

        </div>

        <div class="mobile form-element">
            <?php echo Form::label('mobile',trans('translations.mobile')); ?>

            <span class="error-message <?php echo ($errors->has('mobile')? 'active' :''); ?>"><?php echo $errors->first('mobile'); ?></span>
            <?php echo Form::text('mobile', Input::old('mobile'), ['id' => 'mobile']); ?>

        </div>
    
        <div class="submit">
            <p class="button">
                <?php echo \Illuminate\Support\Facades\Lang::get('translations.send'); ?>
                <span class="arrow"><?php echo $__env->make('svg.arrow', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?></span>
            </p>
            <?php echo Form::submit(trans('translations.send')); ?>

        </div>

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


    <?php else: ?>

        <h2><?php echo KommaLang::get('thanksContactFormTitle'); ?></h2>
        <p><?php echo KommaLang::get('thanksContactFormText'); ?></p>

    <?php endif; ?>

</div>