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Server: Microsoft-IIS/8.5
System: Windows NT YDAWBH120 6.3 build 9600 (Windows Server 2012 R2 Standard Edition) AMD64
User: tentjecom_web (0)
PHP: 7.4.14
Disabled: NONE
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File: D:/HostingSpaces/SBogers33/broosensterck.nl/app/storage/views/9e7a2d0a435ce61a983bb514e7c29e82
<div class="contact-form">

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

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

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


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

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

        </div>

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

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

        </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="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="extra_message form-element text-area">
            <?php echo Form::label('formMessage',trans('translations.extraMessage')); ?>

            <span class="error-message <?php echo ($errors->has('formMessage')? 'active' :''); ?>"><?php echo $errors->first('formMessage'); ?></span>
            <?php echo Form::textarea('formMessage', Input::old('formMessage') ,['id'=>'formMessage', 'rows'=>'6']); ?>

        </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>