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PATH: home / lab2454c / vaultchip.com / resources / views

{!! Theme::partial('header') !!}

<div class="contact__wrapp">
        <div class="container">
           <div class="row m-0">
              <div class="col-xl-3 col-lg-4 p-0">
                 <div class="connect__wrapp__inner">
                    <div class="connect__inner">
                       <h2>Crypto POS Enquiry</h2>

@if(session()->has('success'))
                            <div class="alert alert-success custom-alert-alternate custom-alert-info" role="alert" id="successmsg">
                                <strong>{{ session()->get('success') }}</strong>
                                </button>
                            </div>
                        @endif

@if($errors->any())
                            <div class="alert alert-danger custom-alert-alternate custom-alert-info" role="alert" id="errormsg">
                                <strong>{{ $errors->first() }}</strong>
                                </button>
                            </div>
                        @endif
                    </div>
                 </div>
              </div>

<div class="col-xl-9 col-lg-8 p-0">
                 <div class="contact__form__wrapp">
                    <h2>Interested in Crypto POS? Fill up this form and we will get back to you with our pricing.</h2>
                    {!! Form::open(['route' => 'productEnquirySubmit', 'method' => 'POST']) !!}
                    <div class="row">
                       <div class="col-xl-6 col-lg-6 col-md-6">
                          <div class="form-group form__group">
                             <label for="FullName" >Retailer Full Name</label>
                             <input name="name" value="{{ old('name') }}" placeholder="{{ __('Enter Full Name') }}" type="text" class="form-control form__control" id="FullName" required>
                          </div>
                       </div>
                       <div class="col-xl-6 col-lg-6 col-md-6">
                          <div class="form-group form__group">
                                <label for="Email">Retailer Email</label>
                                <input type="email" name="email" value="{{ old('email') }}" placeholder="{{ __('Enter Email') }}" class="form-control form__control" id="Email">
                          </div>
                       </div>
                       <div class="col-xl-6 col-lg-6 col-md-6">
                          <div class="form-group form__group">
                              <label for="Phone">Retailer Phone</label>
                            <input name="phone" value="{{ old('phone') }}" placeholder="{{ __('Enter Phone') }}" type="tel" class="form-control form__control" id="Phone" required>
                          </div>
                       </div>
                     
                        <div class="col-xl-6 col-lg-6 col-md-6">
                          <div class="form-group form__group">
                           <label for="No of Product" class="form-label">No. of Product Required</label>
                            <input name="product_count" value="{{ old('product_count') }}" placeholder="{{ __('Enter No of Product Required') }}" type="number" class="form-control form__control" id="No of Product" required>
                          </div>
                       </div>

<div class="col-xl-12 col-lg-12 col-md-12">
                          <div class="form-group form__group">
                               <label for="Message" class="form-label">Enquiry</label>
                            <textarea name="message" placeholder="{{ __('Enter your enquiry detail') }}" class="form-control form__control" placeholder="Message" id="Message">{{ old('message') }}</textarea>
                          </div>
                       </div>
                    </div>

@if (setting('enable_captcha') && is_plugin_active('captcha'))
                    <div class="col-md-12">
                        {!! Captcha::display() !!}
                    </div>
                    @endif

<div class="form__wrapp__bottom">
                       <button type="submit" class="submit__btn">Send Enquiry</button>
                    </div>
                    {!! Form::close() !!}
                 </div>
              </div>
           </div>
        </div>
    </div>
</div>

setTimeout(function() {
    $('#errormsg').fadeOut('fast');
    }, 3000);
</script>

{!! Theme::partial('footer') !!}

[+] custom
[+] ..
[+] common
[-] enquiryForm.blade.php [edit]
[-] .gitkeep [edit]