@extends('layouts.master')

@section('title', 'Kontakt')

@section('content')
    <div class="cover-image" style="background-image: url({{ asset('images/GVA_header.png') }})"></div>
    <div class="row generic-page">
        <div class="col-sm-12 content-box">
            <div class="row header-section">
                <div class="col-md-12 page-title">
                    Haben Sie Fragen zu unseren Veranstaltungen?
                </div>
                <div class="col-md-12 page-desc">
                    Sie erreichen uns am besten über das Kontaktformular.<br />
                    Für andere Fragen oder Mitteilungen senden Sie bitte eine E-Mail an haspa@haspa.de
                </div>
            </div>
            <div class="row">
                <div class="col-md-12">
                    {!! Form::open(['url' => action('MainController@submitContactForm'), 'method' => 'POST']) !!}
                        <div class="row contact-form">
                            <div class="col-md-12 content-box">
                                @if($errors->any())
                                    <div class="row">
                                        @include('errors.list')
                                    </div>
                                @endif
                                <div class="row">
                                    <div class="col-md-6">
                                        <div class="row">
                                            <div class="col-md-12"><h4>Ihre Anfrage</h4></div>
                                            <div class="col-md-12">
                                                <div class="separator"></div>
                                            </div>
                                            <div class="col-md-12">
                                                {!! Form::textarea('message', null, ['class' => 'form-control message', 'placeholder' => 'Ihre Nachricht*']) !!}
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-md-6">
                                        <div class="row">
                                            <div class="col-md-12"><h4>Persönliche Daten</h4></div>
                                            <div class="col-md-12">
                                                <div class="separator"></div>
                                            </div>
                                            <div class="col-md-4">
                                                 {!! Form::select('title', ['herr' => 'Herr', 'frau' => 'Frau'], null, ['class' => 'form-control']) !!}
                                            </div>
                                            <div class="col-md-4">
                                                {!! Form::text('first_name', null, ['class' => 'form-control', 'placeholder' => 'Vorname']) !!}
                                            </div>
                                            <div class="col-md-4">
                                                {!! Form::text('last_name', null, ['class' => 'form-control', 'placeholder' => 'Nachname']) !!}
                                            </div>
                                        </div>
                                        <div class="row">
                                            <div class="col-md-12">
                                                {!! Form::text('street', null, ['class' => 'form-control', 'placeholder' => 'Straße']) !!}
                                            </div>
                                        </div>
                                        <div class="row">
                                            <div class="col-md-6">
                                                {!! Form::text('zipcode', null, ['class' => 'form-control', 'placeholder' => 'PLZ']) !!}
                                            </div>
                                            <div class="col-md-6">
                                                {!! Form::text('city', null, ['class' => 'form-control', 'placeholder' => 'Ort']) !!}
                                            </div>
                                        </div>
                                        <div class="row">
                                            <div class="col-md-12">
                                                {!! Form::text('mobile', null, ['class' => 'form-control', 'placeholder' => 'Telefonnummer']) !!}
                                            </div>
                                        </div>
                                        <div class="row">
                                            <div class="col-md-12">
                                                {!! Form::text('email', null, ['class' => 'form-control', 'placeholder' => 'E-Mail-Adresse*']) !!}
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-md-12 contact-footer">
                                        <div class="row">
                                            <div class="col-md-12">
                                                <p>
                                                    Die übermittelten Daten werden ausschließlich für die Bearbeitung und Beantwortung Ihrer Anfrage verwendet.
                                                </p>
                                                <p>
                                                    Ergänzende Informationen finden Sie in unseren <a href="{{ action('MainController@privacy') }}">Datenschutzbestimmungen</a>.
                                                </p>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-md-12">
                                        <button class="btn btn-danger contact-send-btn">
                                            Nachricht senden <i class="fas fa-chevron-circle-right"></i>
                                        </button>
                                    </div>
                                    <div class="col-md-12 note">
                                        * Mit einem Stern gekennzeichnete Formularfelder sind Pflichtangaben.
                                    </div>
                                </div>
                            </div>
                        </div>
                    {!! Form::close() !!}
                </div>
            </div>
        </div>
    </div>
@stop