@extends('layouts.admin-layout')

@section('content')


<div class="content-wrapper">
    <!-- Content Header (Page header) -->

    <section class="content">

        <!-- SELECT2 EXAMPLE -->
        @include('includes.messages')
        <div class="box box-default">
            <div class="box-header with-border">
                <h3 class="box-title">Add New Merchant</h3>

            </div><!-- /.box-header -->

            {{ Form::open(['route' => 'merchant:register:post', 'files' => true,'id'=>'form-reg','class'=>'reg-val','onsubmit'=>'return validation()']) }}


            <div class="box-body">
                <div class="row">
                    <div class="col-md-6">

                        <div class="form-group">
                            <label for='name'>Name of the outlet<em>*</em></label>
                            {{ Form::text('business_name', Input::old('business_name'), ['class' => 'txtbox required form-control']) }}
                        </div>
                    </div>
                    <div class="col-md-6">

                        <div class="form-group">
                            <label for='name'>Country</label>
                            {{ Form::select('country',[''=>'Select Country']+$country, Input::old('country'), ['class' => 'form-control','id'=>'country','onchange'=>'getstates();']) }}
                        </div>
                    </div>

                    <div id='country_others' class="col-md-6" style="display: none">
                        <div class="form-group">
                            <label for='card_addr'>Other(Country)<em>*</em></label>
                            {{ Form::text('country_other',Input::old('country_other'),['class'=>'txtbox required form-control','id'=>'country_other'])}}
                        </div>
                    </div>

                    <div class="col-md-6">
                        <div class="form-group">
                            <label for='name'>State<em>*</em></label>
                            <select name="state" class="form-control" id='states'>
                                <option value=""></option>
                            </select>
                            {{ Form::hidden('previous_state_id','',['id'=>'previous_state_id'])}}
                        </div>
                    </div>

                    <div id='state_others' class="col-md-6" style="display: none">
                        <div class="form-group">
                            <label for='card_addr'>Other(State)<em>*</em></label>
                            {{ Form::text('state_other',Input::old('state_other'),['class'=>'txtbox required form-control','id'=>'state_other'])}}
                        </div>
                    </div>

                    <div class="col-md-6" id="city_data" >
                        <div class="form-group">
                            <label for='name'>City<em>*</em></label>
                            {{ Form::text('city', Input::old('city'), ['class' => 'txtbox required form-control']) }}

                            {{ Form::hidden('previous_city_id','',['id'=>'previous_city_id'])}}
                        </div>
                    </div>

                    <div id='city_others' class="col-md-6" style="display: none">
                        <div class="form-group">
                            <label for='card_addr'>Other(City)<em>*</em></label>
                            {{ Form::text('city_other',Input::old('city_other'),['class'=>'txtbox required form-control','id'=>'city_other'])}}
                        </div>
                    </div>



                    <div class="col-md-6">
                        <div class="form-group">
                            <label for='name'>Pincode<em>*</em></label>
                            {{ Form::text('pincode', Input::old('pincode'), ['class' => 'txtbox required form-control']) }}
                        </div>
                    </div>

                    <div class="col-md-6">
                        <div class="form-group">
                            <label for='name'>Address<em>*</em></label>
                            {{ Form::text('address', Input::old('address'), ['class' => 'txtbox required form-control']) }}
                        </div>
                    </div>


                    <div class="col-md-6">
                        <div class="form-group">
                            <label>Validity of the card*</label>
                            <div class="input-group">
                                <div class="input-group-addon">
                                    <i class="fa fa-calendar"></i>
                                </div>

                                {{Form::text('valid_till',Input::old('valid_till'),array('class' => 'required form-control','id'=>'valid_date', 'autocomplete'=>'off'))}}

                            </div>
                        </div>
                    </div>


                    <div class="col-md-6">
                        <div class="form-group">
                            <label for='city_id'>Category<em>*</em></label>
                            {{ Form::select('category',[''=>'Select Category','1'=>'Eatery','2'=>'Spa','3'=>'Retail','22'=>'Salon']+$user['category']+['9'=>'Others'] , Input::old('category'), ['class' => 'form-control','id'=>'category','onchange'=>'selectcategory();']) }}

                        </div><!-- /.form-group -->
                    </div>

                    <div id='category_others' class="col-md-6" style="display: none">
                        <div class="form-group">
                            <label for=card_addr'>Others(Category)<em>*</em></label>
                            {{ Form::text('category_others',Input::old('category_others'),['class'=>'txtbox required form-control'])}}
                        </div>
                    </div>

                    <div id='eatery_list' class="col-md-6" style="display: none">
                        <div class="form-group">
                            <label for='address'>Eatery type<em>*</em></label>
                            {{ Form::select('eatery',['5'=>'Restaurant','23'=>'Bar','7'=>'Night Club','8'=>'Cafe']+$user['eatery']+['10'=>'Others'] , Input::old('eatery'), ['class' => 'form-control','id'=>'eatery','onchange'=>'selecteatery();']) }}


                        </div>
                    </div>

                    <div id='eatery_others' class="col-md-6" style="display: none">
                        <div class="form-group">
                            <label for=card_addr'>Others(Eatery)<em>*</em></label>
                            {{ Form::text('eatery_others',Input::old('eatery_others'),['class'=>'txtbox required form-control'])}}
                        </div>
                    </div>

                    <div class="col-md-6">
                        <div class="form-group">
                            <label for='name'>About The Outlet</label>
                            {{ Form::textarea('about', Input::old('about'), ['class' => 'txtbox required form-control']) }}

                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="form-group">

                        </div>
                    </div>




                    <div class="clearfix"></div><br>
                    <hr>
                    <div class="with-border"><h4 class="box-title" style="margin-left: 15px; color: #2C9AF1">Point of Contact 1</h4> </div>

                    <div class="col-md-6">
                        <div class="form-group">
                            <label for='name'>Name<em>*</em></label>
                            {{ Form::text('name', Input::old('name'), ['class' => 'txtbox required form-control']) }}
                        </div>
                    </div>

                    <div class="col-md-6">
                        <div class="form-group">
                            <label for='name'>Designation<em>*</em></label>
                            {{ Form::text('designation', Input::old('designation'), ['class' => 'txtbox required form-control']) }}
                        </div>
                    </div>

                    <div class="col-md-6">
                        <div class="form-group">
                            <label for='name'>Email<em>*</em></label>
                            {{ Form::text('email', Input::old('email'), ['class' => 'txtbox required form-control']) }}
                        </div>
                    </div>

                    <div class="col-md-6">
                        <div class="form-group">
                            <label for='name'>Contact<em>*</em></label>
                            {{ Form::text('mobile', Input::old('mobile'), ['class' => 'txtbox required form-control']) }}
                        </div>
                    </div>

                    <div class="clearfix"></div><br> <hr>
                    <div class=" with-border"><h4 class="box-title" style="margin-left: 15px; color: #2C9AF1">Point of Contact 2</h4> </div>

                    <div class="col-md-6">
                        <div class="form-group">
                            <label for='name'>Name<em></em></label>
                            {{ Form::text('name2', Input::old('name2'), ['class' => 'txtbox required form-control']) }}
                        </div>
                    </div>

                    <div class="col-md-6">
                        <div class="form-group">
                            <label for='name'>Designation<em></em></label>
                            {{ Form::text('designation2', Input::old('designation2'), ['class' => 'txtbox required form-control']) }}
                        </div>
                    </div>

                    <div class="col-md-6">
                        <div class="form-group">
                            <label for='name'>Email<em></em></label>
                            {{ Form::text('email2', Input::old('email2'), ['class' => 'txtbox required form-control']) }}
                        </div>
                    </div>

                    <div class="col-md-6">
                        <div class="form-group">
                            <label for='name'>Contact<em></em></label>
                            {{ Form::text('mobile2', Input::old('mobile2'), ['class' => 'txtbox required form-control']) }}
                        </div>
                    </div>

                    <div class="clearfix"></div><br>

                    <hr>

                    <div class="with-border"><h4 class="box-title" style="margin-left: 15px; color: #2C9AF1">Subscription Details</h4> </div>
                    <div class="clearfix"></div>

                    <div class="input_fields_wrap" style="margin-left: 15px">
                        <button class="add_field_button btn btn-primary">Add More</button><br><br>