contact.blade.php 4.3 KB

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  1. @extends('layouts.app')
  2. @section('content')
  3. <div class="bg-light">
  4. <div class="container pt-3">
  5. <nav class="mb-0">
  6. <ol class="breadcrumb">
  7. <li class="breadcrumb-item"><a href="{{route('index')}}"><u>Home</u></a></li>
  8. <li class="breadcrumb-item active" aria-current="page">Contact us</li>
  9. </ol>
  10. </nav>
  11. </div>
  12. </div>
  13. <div class="py-5">
  14. <div class="container">
  15. <div class="row justify-content-center">
  16. <div class="col-lg-7 text-center">
  17. <h5 class="subtitle">Get In Touch</h5>
  18. <p>If you have questions about the Snyder HemBand, our training program, or anything else, please contact us anytime. We’ll get back to you as soon as possible, typically within 1 business day.</p>
  19. <p>If you are already a partner and need assistance, please contact one of the following departments:</p>
  20. </div>
  21. </div>
  22. </div>
  23. </div>
  24. <div class="bg-light border-bottom">
  25. <div class="container py-5">
  26. <div class="row justify-content-center">
  27. <div class="col-lg-8">
  28. <h5 class="header">Contact Us</h5>
  29. <form class="" action="{{ route('submit-contact') }}" method="post" autocomplete="off">
  30. @csrf
  31. <div class="row">
  32. <div class="col-12">
  33. @if($errors->any())
  34. <div class="alert alert-danger fade show" role="alert">
  35. There were errors found!
  36. </div>
  37. @endif
  38. @if(session('success'))
  39. <div class="alert alert-success fade show" role="alert">
  40. {{session('success')}}
  41. </div>
  42. @endif
  43. </div>
  44. <div class="col-lg-6 form-group mb-4">
  45. <input type="text" class="form-control rounded-0 py-3" name="name_first" placeholder="First Name" value="{{ old('name_first') }}">
  46. @error('name_first')
  47. <small class="text-warning">{{$message}}</small>
  48. @enderror
  49. </div>
  50. <div class="col-lg-6 form-group mb-4">
  51. <input type="text" class="form-control rounded-0 py-3" name="name_last" placeholder="Last Name" value="{{ old('name_last') }}">
  52. @error('name_last')
  53. <small class="text-warning">{{$message}}</small>
  54. @enderror
  55. </div>
  56. </div>
  57. <div class="row">
  58. <div class="col-lg-6 form-group mb-4">
  59. <input type="email" class="form-control rounded-0 py-3" name="email" placeholder="Email Address" value="{{ old('email') }}">
  60. @error('email')
  61. <small class="text-warning">{{$message}}</small>
  62. @enderror
  63. </div>
  64. <div class="col-lg-6 form-group mb-4">
  65. <input type="text" class="form-control rounded-0 py-3 phone" name="phone" placeholder="Phone Number" value="{{ old('phone') }}">
  66. @error('phone')
  67. <small class="text-warning">{{$message}}</small>
  68. @enderror
  69. </div>
  70. </div>
  71. <div class="form-group mb-4">
  72. <input type="text" class="form-control rounded-0 py-3 zip" name="zip" placeholder="Zip Code" value="{{ old('zip') }}">
  73. @error('zip')
  74. <small class="text-warning">{{$message}}</small>
  75. @enderror
  76. </div>
  77. <div class="form-group mb-4">
  78. <input type="text" class="form-control rounded-0 py-3" name="subject" placeholder="Subject" value="{{ old('subject') }}">
  79. @error('subject')
  80. <small class="text-warning">{{$message}}</small>
  81. @enderror
  82. </div>
  83. <div class="form-group mb-4">
  84. <textarea name="message" class="form-control rounded-0" placeholder="Message" rows="6">{{ old('message') }}</textarea>
  85. @error('message')
  86. <small class="text-warning">{{$message}}</small>
  87. @enderror
  88. </div>
  89. <div class="form-group mb-4">
  90. {!! htmlFormSnippet() !!}
  91. @error('g-recaptcha-response')
  92. <small class="text-danger"><i class="fas fa-exclamation-triangle mr-2"></i>Invalid</small>
  93. @enderror
  94. </div>
  95. <button type="submit" class="btn btn-pry w-100 py-3">Submit message</button>
  96. </form>
  97. </div>
  98. </div>
  99. </div>
  100. </div>
  101. @endsection