@extends('landing.layouts.app') @section('title') {{ __('messages.web_home.home') }} @endsection @section('content') @include('landing.membership_plans.index', ['screenFrom' => Route::currentRouteName()]) Register @include('flash::message') {{ Form::open(['route' => 'public.store_client','files' => 'true','id'=>'clientForm']) }} {{ Form::label('membership',__('messages.membership.membership').':', ['class' => 'form-label mb-3 required']) }} {{ Form::select('membership_plan_id', $membershipPlans->pluck('name','id'), $membership_plan_id, ['id'=>'membershipId','class' => 'form-select form-select-solid','placeholder' => 'Select Membership', 'data-control' => 'select2', 'required']) }} {{ Form::label('first_name', __('messages.client.first_name').':', ['class' => 'form-label required mb-3']) }} {{ Form::text('first_name', null, ['class' => 'form-control form-control-solid', 'placeholder' => 'First Name', 'required']) }} {{ Form::label('last_name', __('messages.client.last_name').':', ['class' => 'form-label required mb-3']) }} {{ Form::text('last_name', null, ['class' => 'form-control form-control-solid', 'placeholder' => 'Last Name', 'required']) }} {{ Form::label('email', __('messages.client.email').':', ['class' => 'form-label mb-3']) }} {{ Form::email('email', null, ['class' => 'form-control form-control-solid', 'placeholder' => 'Email']) }} {{ Form::label('contact', __('messages.client.contact_no').':', ['class' => 'form-label mb-3']) }} {{ Form::tel('contact', null, ['class' => 'form-control form-control-solid', 'onkeyup' => 'if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,"")','id'=>'phoneNumber']) }} {{ Form::hidden('region_code', null,['id'=>'prefix_code']) }} {{ Form::label('password',__('messages.client.password').':' ,['class' => 'form-label mb-3']) }} {{ Form::label('confirmPassword',__('messages.client.confirm_password').':' ,['class' => 'form-label mb-3']) }} {{ Form::label('website', __('messages.client.website').':', ['class' => 'form-label mb-3']) }} {{ Form::text('website', null,['class' => 'form-control form-control-solid', 'placeholder' => 'Website']) }} {{ Form::label('postal_code', __('messages.client.postal_code').':', ['class' => 'form-label required mb-3']) }} {{ Form::text('postal_code',null, ['class' => 'form-control form-control-solid', 'placeholder' => 'Postal Code', 'required', 'maxlength' => 6]) }} {{ Form::label('country',__('messages.client.country').':', ['class' => 'form-label mb-3']) }} {{ Form::select('country_id', $countries, config('app.default_country'), ['id'=>'countryId','class' => 'form-select form-select-solid','placeholder' => 'Select Country', 'data-control' => 'select2']) }} {{ Form::label('state', __('messages.client.state').':', ['class' => 'form-label mb-3']) }} {{ Form::select('state_id', [], null, ['id'=>'stateId','class' => 'form-select form-select-solid','placeholder' => 'Select State', 'data-control' => 'select2']) }} {{ Form::label('city',__('messages.client.city').':', ['class' => 'form-label mb-3']) }} {{ Form::select('city_id', [], null, ['id'=>'cityId','class' => 'form-select form-select-solid','placeholder' => 'Select City', 'data-control' => 'select2']) }} {{ Form::label('address', __('messages.client.address').':', ['class' => 'form-label mb-3']) }} {{ Form::textarea('address', null, ['class' => 'form-control form-control-solid', 'placeholder' => 'Address', 'rows' => 4, 'style'=>'height: 100px;']) }} {{ Form::label('notes', __('messages.client.notes').':', ['class' => 'form-label mb-3']) }} {{ Form::textarea('note', null, ['class' => 'form-control form-control-solid', 'placeholder' => 'Enter Notes', 'rows' => 4, 'style'=>'height: 100px;']) }} {{ __('messages.client.profile_picture').':' }} Allowed file types: png, jpg, jpeg. {{ Form::submit(__('messages.common.save'),['class' => 'btn btn-primary me-3']) }} {{__('messages.common.discard')}} {{ Form::close() }} Subscribe Now! Enter your email to receive daily updates. Subscribe @endsection @section('scripts') @endsection
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