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System: Windows NT YDAWBH120 6.3 build 9600 (Windows Server 2012 R2 Standard Edition) AMD64
User: tentjecom_web (0)
PHP: 7.4.14
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File: D:/HostingSpaces/SBogers47/ehbocranendonck.nl/app/storage/views/814ffb18935ccfc75266f36178ebb289
<div class="contact-form">

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

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

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


        <p><?php echo \Illuminate\Support\Facades\Lang::get('translations.organisation'); ?></p>
    
        <div class="nameOrganisation form-element ">
            <?php echo Form::label('nameOrganisation',trans('translations.nameOrganisation')); ?>

            <span class="error-message <?php echo ($errors->has('nameOrganisation')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::text('nameOrganisation', Input::old('nameOrganisation'), ['id' => 'nameOrganisation']); ?>

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

            <span class="error-message <?php echo ($errors->has('addressOrganisation')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::text('addressOrganisation', Input::old('addressOrganisation'), ['id' => 'addressOrganisation']); ?>

        </div>

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

            <span class="error-message <?php echo ($errors->has('zipOrganisation')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::text('zipOrganisation', Input::old('zipOrganisation'), ['id' => 'zipOrganisation']); ?>

        </div>

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

            <span class="error-message <?php echo ($errors->has('cityOrganisation')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::text('cityOrganisation', Input::old('cityOrganisation'), ['id' => 'cityOrganisation']); ?>

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

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

            <span class="error-message <?php echo ($errors->has('nameContactPerson')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::text('nameContactPerson', Input::old('nameContactPerson'), ['id' => 'nameContactPerson']); ?>

        </div>

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

            <span class="error-message <?php echo ($errors->has('phoneContactPerson')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::text('phoneContactPerson', Input::old('phoneContactPerson'), ['id' => 'phoneContactPerson']); ?>

        </div>

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

            <span class="error-message <?php echo ($errors->has('emailContactPerson')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::email('emailContactPerson', Input::old('emailContactPerson'), ['id' => 'emailContactPerson']); ?>

        </div>

        <p><?php echo \Illuminate\Support\Facades\Lang::get('translations.paymaster'); ?></p>

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

            <span class="error-message <?php echo ($errors->has('namePaymaster')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::text('namePaymaster', Input::old('namePaymaster'), ['id' => 'namePaymaster']); ?>

        </div>

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

            <span class="error-message <?php echo ($errors->has('emailPaymaster')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::email('emailPaymaster', Input::old('emailPaymaster'), ['id' => 'emailPaymaster']); ?>

        </div>

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

            <span class="error-message <?php echo ($errors->has('addressPaymaster')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::text('addressPaymaster', Input::old('addressPaymaster'), ['id' => 'addressPaymaster']); ?>

        </div>

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

            <span class="error-message <?php echo ($errors->has('zipPaymaster')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::text('zipPaymaster', Input::old('zipPaymaster'), ['id' => 'zipPaymaster']); ?>

        </div>

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

            <span class="error-message <?php echo ($errors->has('cityPaymaster')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::text('cityPaymaster', Input::old('cityPaymaster'), ['id' => 'cityPaymaster']); ?>

        </div>

        <div class="sendInvoicePaymaster form-element checkboxes">
            <p class="label-replacement">
                <?php echo \Illuminate\Support\Facades\Lang::get('translations.sendInvoiceOption'); ?> <?php echo \Illuminate\Support\Facades\Lang::get('translations.defaultByMail'); ?>
            </p>
            <label>
                <?php echo Form::checkbox('sendInvoicePaymaster', 'value'); ?>

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

        <p><?php echo \Illuminate\Support\Facades\Lang::get('translations.event'); ?></p>

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

            <span class="error-message <?php echo ($errors->has('startDateTime')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::text('startDateTime', Input::old('startDateTime'), ['id' => 'startDateTime']); ?>

        </div>

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

            <span class="error-message <?php echo ($errors->has('endDateTime')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::text('endDateTime', Input::old('endDateTime'), ['id' => 'endDateTime']); ?>

        </div>

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

            <span class="error-message <?php echo ($errors->has('descriptionEvent')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::textarea('descriptionEvent', Input::old('descriptionEvent') ,['id'=>'descriptionEvent', 'rows'=>'6']); ?>

        </div>

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

            <span class="error-message <?php echo ($errors->has('attendees')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::text('attendees', Input::old('attendees'), ['id' => 'attendees']); ?>

        </div>

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

            <span class="error-message <?php echo ($errors->has('visitors')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::text('visitors', Input::old('visitors'), ['id' => 'visitors']); ?>

        </div>

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

            <span class="error-message <?php echo ($errors->has('location')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::text('location', Input::old('location'), ['id' => 'location']); ?>

        </div>

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

            <span class="error-message <?php echo ($errors->has('firstAidPersons')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::text('firstAidPersons', Input::old('firstAidPersons'), ['id' => 'firstAidPersons']); ?>

        </div>

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

            <span class="error-message <?php echo ($errors->has('formMessage')? 'active' :''); ?>"><?php echo \Illuminate\Support\Facades\Lang::get('translations.required'); ?></span>
            <?php echo Form::textarea('formMessage', Input::old('formMessage') ,['id'=>'formMessage', 'rows'=>'6']); ?>

        </div>



        <?php if($errors->any()): ?>
            <div class="error-message__wrapper">
                <p>Niet alle velden zijn ingevuld/aangevinkt</p>

                <span class="error-message <?php echo ($errors->has('nameOrganisation')? 'active' :''); ?>"><?php echo $errors->first('nameOrganisation'); ?></span>
                <span class="error-message <?php echo ($errors->has('addressOrganisation')? 'active' :''); ?>"><?php echo $errors->first('addressOrganisation'); ?></span>
                <span class="error-message <?php echo ($errors->has('zipOrganisation')? 'active' :''); ?>"><?php echo $errors->first('zipOrganisation'); ?></span>
                <span class="error-message <?php echo ($errors->has('cityOrganisation')? 'active' :''); ?>"><?php echo $errors->first('cityOrganisation'); ?></span>
                <span class="error-message <?php echo ($errors->has('nameContactPerson')? 'active' :''); ?>"><?php echo $errors->first('nameContactPerson'); ?></span>
                <span class="error-message <?php echo ($errors->has('phoneContactPerson')? 'active' :''); ?>"><?php echo $errors->first('phoneContactPerson'); ?></span>
                <span class="error-message <?php echo ($errors->has('emailContactPerson')? 'active' :''); ?>"><?php echo $errors->first('emailContactPerson'); ?></span>
                <span class="error-message <?php echo ($errors->has('namePaymaster')? 'active' :''); ?>"><?php echo $errors->first('namePaymaster'); ?></span>
                <span class="error-message <?php echo ($errors->has('emailPaymaster')? 'active' :''); ?>"><?php echo $errors->first('emailPaymaster'); ?></span>
                <span class="error-message <?php echo ($errors->has('addressPaymaster')? 'active' :''); ?>"><?php echo $errors->first('addressPaymaster'); ?></span>
                <span class="error-message <?php echo ($errors->has('zipPaymaster')? 'active' :''); ?>"><?php echo $errors->first('zipPaymaster'); ?></span>
                <span class="error-message <?php echo ($errors->has('cityPaymaster')? 'active' :''); ?>"><?php echo $errors->first('cityPaymaster'); ?></span>
                <span class="error-message <?php echo ($errors->has('startDateTime')? 'active' :''); ?>"><?php echo $errors->first('startDateTime'); ?></span>
                <span class="error-message <?php echo ($errors->has('endDateTime')? 'active' :''); ?>"><?php echo $errors->first('endDateTime'); ?></span>
                <span class="error-message <?php echo ($errors->has('descriptionEvent')? 'active' :''); ?>"><?php echo $errors->first('descriptionEvent'); ?></span>
                <span class="error-message <?php echo ($errors->has('attendees')? 'active' :''); ?>"><?php echo $errors->first('attendees'); ?></span>
                <span class="error-message <?php echo ($errors->has('visitors')? 'active' :''); ?>"><?php echo $errors->first('visitors'); ?></span>
                <span class="error-message <?php echo ($errors->has('location')? 'active' :''); ?>"><?php echo $errors->first('location'); ?></span>
                <span class="error-message <?php echo ($errors->has('firstAidPersons')? 'active' :''); ?>"><?php echo $errors->first('firstAidPersons'); ?></span>
                <span class="error-message <?php echo ($errors->has('formMessage')? 'active' :''); ?>"><?php echo $errors->first('formMessage'); ?></span>
                <span class="error-message <?php echo ($errors->has('acceptTerms')? 'active' :''); ?>"><?php echo $errors->first('acceptTerms'); ?></span>
                <span class="error-message <?php echo ($errors->has('recaptcha')? 'active' :''); ?>"><?php echo $errors->first('recaptcha'); ?></span>
            </div>
        <?php endif; ?>

        <div class="acceptTerms form-element checkboxes">
            <label>
                <?php echo Form::checkbox('acceptTerms', 'value'); ?>

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



        <div class="g-recaptcha" data-sitekey="6LerDgUrAAAAAAGJ6kB8ppaxbNCsCCW79JM9OkEw"></div>

        <div class="submit">
            <p class="button">
                <?php echo \Illuminate\Support\Facades\Lang::get('translations.sendApplication'); ?>
                <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.sendApplication')); ?>

        </div>

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


    <?php else: ?>

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

    <?php endif; ?>

</div>