|
Server : Apache/2.4.41 (Ubuntu) System : Linux vmi1525618.contaboserver.net 5.4.0-105-generic #119-Ubuntu SMP Mon Mar 7 18:49:24 UTC 2022 x86_64 User : www-data ( 33) PHP Version : 8.2.12 Disable Function : NONE Directory : /var/www/leadai/leadai.co.in/resources/views/frontend/ |
Upload File : |
@extends('frontend.layout.app')
@section('main-section')
<section class="relative pb-16">
<div class="container relative ">
<div class="grid md:grid-cols-12 grid-cols-1 items-center gap-[30px]">
<div class="lg:col-span-6 md:col-span-6">
<img src="{{asset('public/assets/images/contact.svg')}}" class="img-fluid d-block mx-auto" alt="">
</div>
<div class="lg:col-span-6 md:col-span-6">
<x-flashMessage />
<div class="lg:ms-5 create-account-form1">
<div class="bg-white dark:bg-slate-900 rounded-md shadow dark:shadow-gray-800 p-6">
<form id="create-course-form" method='post' action="{{asset('book-demo')}}">
@csrf
<div class="grid lg:grid-cols-12 lg:gap-6">
<div class="lg:col-span-6 mb-5">
<div class="text-start">
<label htmlFor="name" class="font-semibold title h5 text-lg font-medium hover:text-indigo-600">First Name:</label>
<div class="form-icon relative mt-2">
<Icon.User class="size-4 absolute top-3 start-4"></Icon.User>
<input name="first_name" value="{{ old('first_name') }}" id="first_name" type="text" class="form-input w-full py-2 px-3 h-10 bg-transparent dark:bg-slate-900 dark:text-slate-200 rounded outline-none border border-gray-200 focus:border-indigo-600 dark:border-gray-800 dark:focus:border-indigo-600 focus:ring-0" />
</div>
@if ($errors->has('first_name'))
<div class=" text-danger">
{{ $errors->first('first_name') }}
</div>
@endif
</div>
</div>
<div class="lg:col-span-6 mb-5">
<div class="text-start">
<label htmlFor="email" class="font-semibold title h5 text-lg font-medium hover:text-indigo-600">Last Name:</label>
<div class="form-icon relative mt-2">
<Icon.User class="size-4 absolute top-3 start-4"></Icon.User>
<input value="{{ old('last_name') }}" name="last_name" id="last_name" type="text" class="form-input w-full py-2 px-3 h-10 bg-transparent dark:bg-slate-900 dark:text-slate-200 rounded outline-none border border-gray-200 focus:border-indigo-600 dark:border-gray-800 dark:focus:border-indigo-600 focus:ring-0" />
</div>
@if ($errors->has('last_name'))
<div class=" text-danger">
{{ $errors->first('last_name') }}
</div>
@endif
</div>
</div>
</div>
<div class="grid lg:grid-cols-12 lg:gap-6">
<div class="lg:col-span-6 mb-5">
<div class="text-start">
<label htmlFor="subject" class="font-semibold title h5 text-lg font-medium hover:text-indigo-600">Your Email:</label>
<div class="form-icon relative mt-2">
<input value="{{ old('email') }}" name="email" id="email" type="email" class="form-input w-full py-2 px-3 h-10 bg-transparent dark:bg-slate-900 dark:text-slate-200 rounded outline-none border border-gray-200 focus:border-indigo-600 dark:border-gray-800 dark:focus:border-indigo-600 focus:ring-0" />
</div>
@if ($errors->has('email'))
<div class=" text-danger">
{{ $errors->first('email') }}
</div>
@endif
</div>
</div>
<div class="lg:col-span-6 mb-5">
<div class="text-start">
<label htmlFor="subject" class="font-semibold title h5 text-lg font-medium hover:text-indigo-600">Your Number : </label>
<div class="form-icon relative mt-2">
<input value="{{ old('phone') }}" name="phone" id="phone" type="text" class="form-input w-full py-2 px-3 h-10 bg-transparent dark:bg-slate-900 dark:text-slate-200 rounded outline-none border border-gray-200 focus:border-indigo-600 dark:border-gray-800 dark:focus:border-indigo-600 focus:ring-0" />
</div>
@if ($errors->has('phone'))
<div class=" text-danger">
{{ $errors->first('phone') }}
</div>
@endif
</div>
</div>
</div>
<div class="grid grid-cols-1">
<div class="mb-5">
<div class="text-start">
<label htmlFor="subject" class="font-semibold title h5 text-lg font-medium hover:text-indigo-600">Company : </label>
<div class="form-icon relative mt-2">
<input value="{{ old('company') }}" name="company" id="company" type="text" class="form-input w-full py-2 px-3 h-10 bg-transparent dark:bg-slate-900 dark:text-slate-200 rounded outline-none border border-gray-200 focus:border-indigo-600 dark:border-gray-800 dark:focus:border-indigo-600 focus:ring-0" />
</div>
@if ($errors->has('company'))
<div class=" text-danger">
{{ $errors->first('company') }}
</div>
@endif
</div>
</div>
<div class="mb-5">
<div class="text-start">
<label htmlFor="subject" class="font-semibold title h5 text-lg font-medium hover:text-indigo-600">Coaching Institute : </label>
<div class="form-icon relative mt-2">
<input value="{{ old('institute') }}" name="institute" id="institute" type="text" class="form-input w-full py-2 px-3 h-10 bg-transparent dark:bg-slate-900 dark:text-slate-200 rounded outline-none border border-gray-200 focus:border-indigo-600 dark:border-gray-800 dark:focus:border-indigo-600 focus:ring-0" />
</div>
@if ($errors->has('institute'))
<div class=" text-danger">
{{ $errors->first('institute') }}
</div>
@endif
</div>
</div>
<div class="mb-5">
<div class="text-start">
<label htmlFor="subject" class="font-semibold title h5 text-lg font-medium hover:text-indigo-600">No of User : </label>
<div class="form-icon relative mt-2">
<input value="{{ old('no_of_user') }}" type="number" class="form-input w-full py-2 px-3 h-10 bg-transparent dark:bg-slate-900 dark:text-slate-200 rounded outline-none border border-gray-200 focus:border-indigo-600 dark:border-gray-800 dark:focus:border-indigo-600 focus:ring-0" name="no_of_user">
</div>
@if ($errors->has('no_of_user'))
<div class=" text-danger">
{{ $errors->first('no_of_user') }}
</div>
@endif
</div>
</div>
{{-- <form action="{{asset('recaptcha')}}" method="POST"> --}}
<!-- Your form fields here -->
<div class="g-recaptcha" data-sitekey="6Leo8HYqAAAAAOEugM8ok2kZNYQKIaSwnTsBXcY2"></div>
</div>
<button class="py-2 px-5 inline-block font-semibold tracking-wide border align-middle duration-500 text-base text-center bg-indigo-600 hover:bg-indigo-700 border-indigo-600 hover:border-indigo-700 text-white rounded-md w-full create-account-btn">Book Now</button>
</form>
</div>
</div>
</div>
</div>
</div>
</section>
@include('frontend.layout.footer')
<a href="#" onclick="topFunction()" id="back-to-top" class="back-to-top fs-5"><i data-feather="arrow-up" class="fea icon-sm icons align-middle"></i></a>
@endsection
@push('custom-js')
<script>
document.querySelector('.create-account-form').style.display='none';
</script>
@endpush