@extends('app')

@section('content')
<div class="container">
    <div class="row">
        <div class="col-md-8 col-md-offset-2">
            <div class="panel panel-default">
                <div class="panel-body">
                
                    @include('flash::message')
                
                    <div class = "small-bottom-padding"><div class = "text-center">{!! Html::image('images/logo.png', 'hilbit') !!}</div></div>
                    <form class="form-horizontal" role="form" method="POST" action="{{ url('/register') }}">
                        
                        {!! csrf_field() !!}

                        <div class="form-group{{ $errors->has('name') ? ' has-error' : '' }}">
                            <label class="col-md-4 control-label">Name:</label>

                            <div class="col-md-6">
                                <input type="text" class="form-control" name="name" value="{{ old('name') }}">

                                @if ($errors->has('name'))
                                    <span class="help-block">
                                        <strong>{{ $errors->first('name') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>

                        <div class="form-group{{ $errors->has('surname') ? ' has-error' : '' }}">
                            <label class="col-md-4 control-label">Surname:</label>

                            <div class="col-md-6">
                                <input type="text" class="form-control" name="surname" value="{{ old('surname') }}">

                                @if ($errors->has('surname'))
                                    <span class="help-block">
                                        <strong>{{ $errors->first('surname') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>

                        <div class="form-group{{ $errors->has('contact_number') ? ' has-error' : '' }}">
                            <label class="col-md-4 control-label">Contact Number:</label>

                            <div class="col-md-6">
                                <input type="text" class="form-control" name="contact_number" value="{{ old('contact_number') }}">

                                @if ($errors->has('contact_number'))
                                    <span class="help-block">
                                        <strong>{{ $errors->first('contact_number') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>

                        <div class="form-group{{ $errors->has('email') ? ' has-error' : '' }}">
                            <label class="col-md-4 control-label">Email:</label>

                            <div class="col-md-6">
                                <input type="text" class="form-control" name="email" value="{{ old('email') }}">

                                @if ($errors->has('email'))
                                    <span class="help-block">
                                        <strong>{{ $errors->first('email') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>

                        <div class="form-group{{ $errors->has('email_confirmation') ? ' has-error' : '' }}">
                            <label class="col-md-4 control-label">Confirm Email:</label>

                            <div class="col-md-6">
                                <input type="text" class="form-control" name="email_confirmation" value="{{ old('email_confirmation') }}">

                                @if ($errors->has('email_confirmation'))
                                    <span class="help-block">
                                        <strong>{{ $errors->first('email_confirmation') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>

                        <div class="form-group{{ $errors->has('password') ? ' has-error' : '' }}">
                            <label class="col-md-4 control-label">Password:</label>

                            <div class="col-md-6">
                                <input type="password" class="form-control" name="password">

                                @if ($errors->has('password'))
                                    <span class="help-block">
                                        <strong>{{ $errors->first('password') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>

                        <div class="form-group{{ $errors->has('password_confirmation') ? ' has-error' : '' }}">
                            <label class="col-md-4 control-label">Confirm Password:</label>

                            <div class="col-md-6">
                                <input type="password" class="form-control" name="password_confirmation">

                                @if ($errors->has('password_confirmation'))
                                    <span class="help-block">
                                        <strong>{{ $errors->first('password_confirmation') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>

                        <div class="form-group{{ $errors->has('party_type') ? ' has-error' : '' }}">
                            <label class="col-md-4 control-label">Contracting Party Type:</label>

                            <div class="col-md-6">
                                <select class="form-control" name="party_type">
                                    <option value="client">Client</option>
                                    <option value="supplier">Supplier</option>
                                    <option value="associates">Associates</option>
                                    <option value="vendor">Vendor</option>
                                    <option value="debtor">Debtor</option>
                                </select>

                                @if ($errors->has('party_type'))
                                    <span class="help-block">
                                        <strong>{{ $errors->first('party_type') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>

                        <div class="form-group{{ $errors->has('entity_type') ? ' has-error' : '' }}">
                            <label class="col-md-4 control-label">Legal Entity Type:</label>

                            <div class="col-md-6">
                                <select class="form-control" name="entity_type">
                                    <option value="individual">Individual</option>
                                    <option value="pty">PTY</option>
                                    <option value="cc">CC</option>
                                    <option value="trust">Trust</option>
                                    <option value="ngo">NGO</option>
                                    <option value="limited">Limited</option>
                                    <option value="partnership">Partnership</option>
                                </select>

                                @if ($errors->has('entity_type'))
                                    <span class="help-block">
                                        <strong>{{ $errors->first('entity_type') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>

                        <div class="form-group">
                            
                            <div class="col-md-6 col-md-offset-4">
                            Please review and agree the following terms in order to create your account
                                <div class="checkbox{{ $errors->has('terms_of_services') ? ' has-error' : '' }}">
                                    <label>
                                        <input type="checkbox" name="terms_of_services"> Terms of Service 
                                    </label>
                                    @if ($errors->has('terms_of_services'))
                                        <span class="help-block">
                                            <strong>{{ $errors->first('terms_of_services') }}</strong>
                                        </span>
                                    @endif
                                </div>
                                <div class="checkbox{{ $errors->has('privacy_policy') ? ' has-error' : '' }}">
                                    <label>
                                        <input type="checkbox" name="privacy_policy"> Privacy Policy 
                                    </label>
                                    @if ($errors->has('privacy_policy'))
                                        <span class="help-block">
                                            <strong>{{ $errors->first('privacy_policy') }}</strong>
                                        </span>
                                    @endif
                                </div>
                                <div class="checkbox{{ $errors->has('popi') ? ' has-error' : '' }}">
                                    <label>
                                        <input type="checkbox" name="popi"> POPI 
                                    </label>
                                    @if ($errors->has('popi'))
                                        <span class="help-block">
                                            <strong>{{ $errors->first('popi') }}</strong>
                                        </span>
                                    @endif
                                </div>
                            </div>
                        </div>

                        <div class="form-group">
                            <div class="col-md-6 col-md-offset-4">
                                <button type="submit" class="btn btn-primary">
                                    <i class="fa fa-btn fa-sign-in"></i>Register
                                </button>

                                {{--<a class="btn btn-link" href="{{ url('/password/reset') }}">Forgot Your Password?</a>--}}
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>
@endsection