@extends('layouts.signup')

@section('content')

<div class="container signupDiv" style="width:60%; margin-top: 4%; margin-bottom:4%;">
	<div class="row">
		<div class="product-text ">
				<img src="{{url('/')}}/images/logo.png" width="200" height="auto" alt="">
		</div>
		<br>
		<div class="text-center"><h3>New User Signup</h3></div><br>
		<div class="text-center">
			<h4>
				This form is for new organizations only. If your organization has an existing Producty subscription,
				please ask your account manager for an invitation.
			</h4>
		</div>
		<div class="signupmodal-container">

			<form id="resellerSignupForm" class="form-horizontal" method="post" action="{{url('/resellerSignupProcess')}}">
				@csrf
				<div class="form-group">
					<label for="firstName" class="control-label col-sm-4">First Name<sup>*<sup></label>
					<div class="col-sm-8">
						<input type="text" name="firstName" id="firstName" class="form-control login-text" value="{{ old('firstName') }}" placeholder="Frist name*" autofocus="">
						<span class="login_error" id="firstNameErr" role="alert">
							@if ($errors->has('firstName'))
											<strong>{{ $errors->first('firstName') }}</strong>
							@endif
						</span>
					</div>
				</div>

				<div class="form-group">
					<label for="lastName" class="control-label col-sm-4">Last Name*</label>
					<div class="col-sm-8">
						<input type="text" name="lastName" id="lastName" class="form-control login-text" value="{{ old('lastName') }}" placeholder="Last name*" autofocus="">
						<span class="login_error" id="lastNameErr" role="alert">
							@if ($errors->has('lastName'))
										<strong>{{ $errors->first('lastName') }}</strong>
							@endif
						</span>
					</div>
				</div>

				<div class="form-group">
					<label for="email" class="control-label col-sm-4">Email*</label>
					<div class="col-sm-8">
						<input type="text" name="email" id="email" class="form-control login-text" value="{{$email ?? old('email')}}" placeholder="Email address*" autofocus="" readonly>
						<span class="login_error" id="emailErr" role="alert">
							@if ($errors->has('email'))
											<strong>{{ $errors->first('email') }}</strong>
							@endif
						</span>
					</div>
				</div>

				<div class="form-group">
					<label for="phone" class="control-label col-sm-4">Contact number*</label>
					<div class="col-sm-8">
						<input type="text" name="phone" id="phone" class="form-control login-text" value="{{ old('phone') }}" placeholder="Contact number*" autofocus="">
						<span class="login_error" id="phoneErr" role="alert">
							@if ($errors->has('phone'))
											<strong>{{ $errors->first('phone') }}</strong>
							@endif
						</span>
					</div>
				</div>

				<div class="form-group">
					<label for="orgName" class="control-label col-sm-4">Organisation name*</label>
					<div class="col-sm-8">
						<input type="text" name="OrganisationName" id="orgName" class="form-control login-text" value="{{ old('OrganisationName') }}" placeholder="Organisation Name*" autofocus="">
						<span class="login_error" id="orgNameErr" role="alert">
							@if ($errors->has('OrganisationName'))
											<strong>{{ $errors->first('OrganisationName') }}</strong>
							@endif
						</span>
					</div>
				</div>

		{{--<div class="form-group">
					<input type="text" name="location" id="location" value="" placeholder="Location*" class="login-text" autofocus="">
					<span class="invalid-feedback login_error" id="locationErr" role="alert">

					</span>
				</div>--}}


				<div class="form-group">
					<label for="password" class="control-label col-sm-4">Password*</label>
					<div class="col-sm-8">
						<input type="password" name="password" id="password" class="form-control login-password" value="{{ old('password') }}" placeholder="Password*">
						<span class="login_error" role="alert" id="passwordErr">
							@if ($errors->has('password'))
											<strong>{{ $errors->first('password') }}</strong>
							@endif
						</span>
					</div>
				</div>

				<div class="form-group">
					<label for="confirmPassword" class="control-label col-sm-4">Confirm password*</label>
					<div class="col-sm-8">
						<input type="password" name="confirmPassword" id="confirmPassword" class="form-control login-password" value="{{ old('confirmPassword') }}" placeholder="Confirm password*">
						<span class="login_error" role="alert" id="confirmPasswordErr">
							@if ($errors->has('confirmPassword'))
											<strong>{{ $errors->first('confirmPassword') }}</strong>
							@endif
						</span>
					</div>
				</div>
				<br>
				<input type="submit" name="reseller_submit_signup" id="reseller_submit_signup" class="login loginmodal-submit" value="Signup">
			</form>

			<br>

			<div class="login-help">

				{{ __('Already have an account?') }}
				<br>
          <a class="login-catalog" href="{{ url('/') }}">
              {{ __('Signin') }}
          </a>

			</div>
		</div>
	</div>
	<div class="" id="tnc"></div> {{-- div to display Terms and Conditions --}}
</div>



@endsection