@extends('main') @section('body')

{!! __("universal.page.contact_form.title") !!}

{!!__("universal.page.contact_form.text") !!}

@component("components.inputs.input_info", ["id" => "order_no", "label" => __("universal.order_no"),"placeholder" => __("universal.order_no"), "value" => $orderNo, "dataTarget" => "modal_info_order_no", "helpText" => __("universal.help.contact_form.order_no")]) @endcomponent
@component("components.inputs.input", ["id" => "first_name", "label" => __("universal.first_name"), "placeholder" => __("universal.first_name"), "value" => session("user.firstName", ""), "mandatory" => true]) @endcomponent
@component("components.inputs.input", ["id" => "last_name", "label" => __("universal.last_name"), "placeholder" => __("universal.last_name"), "value" => session("user.lastName", ""), "mandatory" => true]) @endcomponent
@component("components.inputs.textarea", ["id" => "message", "label" => __("universal.your_message"), "placeholder" => __("universal.your_message"), "mandatory" => true]) @endcomponent
{{__("universal.page.contact_form_reply_options.title")}}

{!!__("universal.page.contact_form_reply_options.text")!!}

@component("components.radios.radio", ["id" => "reply_option_phone", "name" => "reply_options", "value" => "phone", "label" => __("universal.phone")]) @endcomponent
@component("components.radios.radio", ["id" => "reply_option_mail", "name" => "reply_options", "value" => "email", "label" => __("universal.email")]) @endcomponent
@component("components.inputs.input", ["id" => "phone_no", "label" => __("universal.phone"), "placeholder" => __("universal.phone")]) @endcomponent
@component("components.inputs.input", ["id" => "email", "label" => __("universal.email"), "placeholder" => __("universal.email")]) @endcomponent
@component("components.buttons.button", [ "id" => "btn_send", "title" => __("universal.button.send"), "style" => "min-width: 8em;", "buttonClass" => "btn-default" ]) @endcomponent
@component("components.modals.modal", ["id" => "modal_info_order_no", "modalTitle" => __("universal.info.contact_order_no.title")]) @slot("modalBody") {!! __("universal.info.contact_order_no.text") !!} @endSlot @endcomponent @endsection