Current File : /home/tradevaly/public_html/resources/views/frontend/pages/subscribe.blade.php

@extends('frontend.layouts.app')
@push('style')
    
@endpush
@section('content')
     <!--/*********************Banner *********************************************** -->

 <section class="contact-us-page contact-us-banner">
    <div class="container">
        <img src="{{asset("assets/frontend/img/contact_banner.jpg")}}" class="width-100 lazy" alt="Contact Us">
    </div>
</section>
<!-- ******************** Contact From and Bannder *********************************-->

<section class="bg-white services-contact contact-bg mb-4 mt-md-5">
    <div class="container">
        <div class="row">
            
            <div class="col-md-7">
                <div class="alert alert-success alert-dismissible fade d-none" role="alert" id="contactResponse">
                    <strong>{{ translate('Enquiry Submitted!') }}</strong> {{ translate('Our team will contact you shortly!') }}
                    <button type="button" class="close" data-dismiss="alert" aria-label="Close">
                        <span aria-hidden="true">×</span>
                    </button>
                </div>
                <div class="contact-form">
                    <div class="form-wrapper">
                            <form action="{{ route('user.register') }}" method="post">
                                @csrf
                                <div class="form-group">
                                    <div class="col-xs-6"><input type="text" class="form-control" name="name" placeholder="{{ translate('Name') }}" required="required"></div>       	
                                </div>
                                
                                <div class="form-group">
                                    <div class="col-xs-6"><input type="text" class="form-control" name="username" placeholder="{{ translate('User Name') }}" required="required"></div>       	
                                </div>
                                
                                <div class="form-group">
                                    <div class="col-xs-6"><input type="phone" class="form-control" name="phone" placeholder="{{ translate('Phone') }}" required="required"></div>       	
                                </div>
                                <div class="form-group">
                                    <input type="email" class="form-control" name="email" placeholder="{{ translate('Email')}}" required="required">
                                </div>
                                <div class="form-group">
                                    <select class="form-control" name="type" id="type">
                                        <option value="buyer">{{ translate('Buyer') }}</option>
                                        <option value="seller">{{ translate('Supplier') }}</option>
                                    </select>
                                </div>
                                <input type="hidden" name="package_id" value="{{$package->id}}">
                                <div class="form-group">
                                    <input type="password" class="form-control" name="password" placeholder="Password" required="required">
                                </div>
                                <div class="form-group">
                                    <input type="password" class="form-control" name="confirm_password" placeholder="Confirm Password" required="required">
                                </div>        
                                <div class="form-group">
                                    <label class="checkbox-inline"><input type="checkbox" required="required"> {{ translate('I accept the') }} <a href="#">{{ translate('Terms of Use') }}</a> &amp; <a href="#">{{ translate('Privacy Policy') }}</a></label>
                                </div>
                                <div class="form-group">
                                    <button type="submit" class="btn btn-success btn-lg btn-block">{{ translate('Register Now') }}</button>
                                </div>
                            </form>
                      
                    </div>
                </div>
            </div>
        </div>
    </div>
</section>
@endsection

@push('script')
    
@endpush