Current File : /home/tradevaly/www/resources/views/frontend/utils/contactForm.blade.php |
<h6> {{ translate('Tell Us What You') }} <span>{{ translate('NEED') }}</span> </h6>
<form method="POST" name="quoteForm" action="{{route('contact')}}" novalidate="novalidate">@csrf
<div class="form-row mt-3" style="padding-left:26px !important;">
<div class="col-sm-12">
<label>{{ translate('Requirements') }}</label>
<input type="text" name="question" class="form-control" placeholder="{{ translate('Enter product/service name') }}" title="{{ translate('Comma seperated keywords') }}" autocomplete="off" required aria-required="true">
</div>
<div class="col-lg-6 col-md-12 col-sm-6">
<label>{{ translate('Name') }}</label>
<input type="text" name="name" class="form-control" placeholder="{{ translate('Full Name') }}" title="{{ translate('Please enter your Full Name here') }}" autocomplete="name" required aria-required="true">
</div>
<div class="col-lg-6 col-md-12 col-sm-6">
<label>{{ translate('Email') }}</label>
<input type="email" name="email" class="form-control" placeholder="{{ translate('name@company.com') }}" title="{{ translate('Please enter your Email Address here') }}" autocomplete="email" required aria-required="true">
</div>
<div class="col-lg-6 col-md-12 col-sm-6">
<label>{{ translate('Company') }}</label>
<input type="text" name="company" class="form-control" placeholder="{{ translate('Company Name') }}" title="{{ translate('Please enter your Company Name here') }}" autocomplete="organization" required aria-required="true">
</div>
@php
$my_ip = ip_country('103.122.29.214')->country_code;
$my_country = \App\Models\Country::where('iso', $my_ip)->first();
$countrylist = \App\Models\Country::all();
@endphp
<div class="col-lg-6 col-md-12 col-sm-6">
<select class="form-control" name="country_id" id="country_id" required>
<option value="">Choose Country</option>
@foreach($countrylist as $country)
<option value="{{$country->id}}" @if($country->id == $my_country->id) selected @endif>{{$country->name}}</option>
@endforeach
</select>
</div>
<div class="col-lg-6 col-md-12 col-sm-6">
<label>{{ translate('Phone') }}</label>
<input type="tel" id="phone" class="form-control" placeholder="" name="phone">
</div>
<div class="col-md-12">
<label>{{ translate('I am a') }}</label>
<select class="form-control valid" name="role" required aria-required="true" aria-invalid="false"> <option value="1" selected="">{{ translate('Seller') }}</option> <option value="0">{{ translate('Buyer') }}</option> </select>
</div>
<div class="col-lg-6 {{ $errors->has('g-recaptcha-response') ? ' has-error' : '' }}">
{!! app('captcha')->display() !!}
@if ($errors->has('g-recaptcha-response'))
<span class="help-block">
<strong>{{ $errors->first('g-recaptcha-response') }}</strong>
</span>
@endif
</div>
<div class="col-12 form-p-0 text-center">
<button type="submit" class="btn btn-outline-danger">{{ translate('Submit') }}</button>
</div>
<p class="text-center"><span>*</span> {{ translate('To achieve our mission we provide all the necessary functionalities to buyers and sellers that help them in developing the voice of their business and to expand worldwide.') }}</p>
</div>
</form>