@extends('frontend.layouts.app',['title' => 'Bulk Buy Request'])

@section('content')
    <div class="wrapper">
        <x-breadcrumb :items="[
            [
                'label' => 'Bulk Buy',
                'url' => null,
            ],
        ]" />
        <div class="all-product-grid bulk-form">
            <div class="container">
                <div class="row">
                    <div class="col-lg-12 col-md-12">
                        <div class="contact-title">
                            <h2>Request a Bulk Purchase Quote</h2>
                            <p>If you have a question about our service or have an issue to report, please send a request
                                and we will get back to you as soon as possible.</p>
                        </div>
                    </div>
                    <div class="col-md-12">
                        <div class="contact-form">
                            <form method="POST" action="{{ route('bulk-buy.store') }}" id="bulk-buy-store-form">
                                @csrf
                                <div class="form-group">
                                    <label class="control-label">Name*</label>
                                    <div class="ui search focus">
                                        <div class="ui left icon input swdh11 swdh19">
                                            <input class="prompt srch_explore" type="text" name="full_name"
                                                id="sendername" required="" placeholder="Your Full">
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group mt-4">
                                    <label class="control-label">Email Address*</label>
                                    <div class="ui search focus">
                                        <div class="ui left icon input swdh11 swdh19">
                                            <input class="prompt srch_explore" type="email" name="email"
                                                id="emailaddress" required="" placeholder="Your Email Id">
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group mt-4">
                                    <label class="control-label">Phone Number*</label>
                                    <div class="ui search focus">
                                        <div class="ui left icon input swdh11 swdh19">
                                            <input class="prompt srch_explore" type="number" name="phone_number"
                                                id="sendersubject" required="" placeholder="Phone No.">
                                        </div>
                                    </div>
                                </div>
                                {{-- <div class="form-group mt-4">
                                <label class="control-label">Subject*</label>
                                <div class="ui search focus">
                                    <div class="ui left icon input swdh11 swdh19">
                                        <input class="prompt srch_explore" type="text" name="sendersubject" id="sendersubject" required="" placeholder="Subject">
                                    </div>
                                </div>
                            </div> --}}
                                <div class="form-group mt-4">
                                    <div class="field">
                                        <label class="control-label">Message*</label>
                                        <textarea rows="2" class="form-control" id="sendermessage" name="message" required=""
                                            placeholder="Write Message"></textarea>
                                    </div>
                                </div>
                                <div class="form-group mt-4">
                                    <div class="field">
                                        <label class="control-label">Product Detail*</label>
                                        <textarea rows="2" class="form-control" id="sendermessage" name="product_detail" required=""
                                            placeholder="Product Detail" id="prdouct_detail"></textarea>
                                    </div>
                                </div>
                                <div class="form-group mt-4">
                                    <label class="control-label">GST No*</label>
                                    <div class="ui search focus">
                                        <div class="ui left icon input swdh11 swdh19">
                                            <input class="prompt srch_explore" type="text" name="gst_no"
                                                id="gst_no" required="" placeholder="Your GST NO">
                                        </div>
                                    </div>
                                </div>
                                <button class="next-btn16 hover-btn mt-30" type="submit"
                                    data-btntext-sending="Sending...">Submit Request</button>
                            </form>
                        </div>
                    </div>
                    {{-- <div class="col-lg-6 col-md-12">
                        <div class="panel-group accordion" id="accordion0">
                            <div class="panel panel-default">
                                <div class="panel-body">
                                    ELA ATTIRE:<br>
                                    #0000, St No. 0, Lorem ipsum dolor sit amet, Main road, Gujarat, Punjab<br>
                                    Gujarat- 141001<br>
                                    <div class="color-pink">Tel: 0000-000-000</div>
                                </div>
                            </div>
                        </div>
                    </div> --}}
                </div>
            </div>
        </div>
    </div>
    @push('scripts')
        <script type="text/javascript" src="{{ asset('vendor/jsvalidation/js/jsvalidation.js') }}"></script>
        {!! JsValidator::formRequest('App\Http\Requests\Frontend\BulkBuy\BulkBuyStoreRequest', '#bulk-buy-store-form') !!}
    @endpush
@endsection