@extends('layouts.front.front')

 @section('title', 'Apply for become a partner | Apsys Network')

 {{-- main content --}}

 @section('content')



     <main id="static" class="partner__request__form">
        <section class="common-banner-wrapper" style="background-image: url('./assets/images/page-banners/banneer.jpg');">
            <div class="container"> 
                <h1>Welcome to the Partner Network</h1>
            </div>
        </section>

         <section class="job__apply__wrapper pt-0 position-relative">

             <div class="container">
 

                 <nav aria-label="breadcrumb" data-aos="fade-right" data-aos-delay="600">

                     <ol class="breadcrumb">

                        <li class="breadcrumb-item">

                            <a href="{{ route('home') }}">

                                <svg xmlns="http://www.w3.org/2000/svg" height="1em" viewBox="0 0 576 512"><path d="M575.8 255.5c0 18-15 32.1-32 32.1h-32l.7 160.2c0 2.7-.2 5.4-.5 8.1V472c0 22.1-17.9 40-40 40H456c-1.1 0-2.2 0-3.3-.1c-1.4 .1-2.8 .1-4.2 .1H416 392c-22.1 0-40-17.9-40-40V448 384c0-17.7-14.3-32-32-32H256c-17.7 0-32 14.3-32 32v64 24c0 22.1-17.9 40-40 40H160 128.1c-1.5 0-3-.1-4.5-.2c-1.2 .1-2.4 .2-3.6 .2H104c-22.1 0-40-17.9-40-40V360c0-.9 0-1.9 .1-2.8V287.6H32c-18 0-32-14-32-32.1c0-9 3-17 10-24L266.4 8c7-7 15-8 22-8s15 2 21 7L564.8 231.5c8 7 12 15 11 24z"/></svg>

                            </a>

                        </li>

                        <li class="breadcrumb-item"><a href="/become-partner">become a partner</a></li>

                        <li class="breadcrumb-item active" aria-current="page">partner request form</li>

                     </ol>

                 </nav>

                 <div class="mobile--breadcrumbs">

                     <a href="/become-partner" class="back">

                        <svg xmlns="http://www.w3.org/2000/svg" height="1em" viewBox="0 0 576 512"><path d="M575.8 255.5c0 18-15 32.1-32 32.1h-32l.7 160.2c0 2.7-.2 5.4-.5 8.1V472c0 22.1-17.9 40-40 40H456c-1.1 0-2.2 0-3.3-.1c-1.4 .1-2.8 .1-4.2 .1H416 392c-22.1 0-40-17.9-40-40V448 384c0-17.7-14.3-32-32-32H256c-17.7 0-32 14.3-32 32v64 24c0 22.1-17.9 40-40 40H160 128.1c-1.5 0-3-.1-4.5-.2c-1.2 .1-2.4 .2-3.6 .2H104c-22.1 0-40-17.9-40-40V360c0-.9 0-1.9 .1-2.8V287.6H32c-18 0-32-14-32-32.1c0-9 3-17 10-24L266.4 8c7-7 15-8 22-8s15 2 21 7L564.8 231.5c8 7 12 15 11 24z"/></svg>

                     </a>

                     <a href="javascript:void(0)" class="page">partner request form</a>

                 </div>

                 <div class="py-4"></div>

                 <form method="POST" action="{{route("store-partner-request")}}"

                     class="apply__wrapper shadow-sm bg-white rounded-lg p-sm-4 p-3 col-lg-8 col-md-10 mx-auto">

                     @csrf

                     @if(session()->has('success'))

                     <div class="row g-4 align-items-end">

                        <div class="alert alert-success">{{session('success')}}</div>

                     </div>

                     @endif

                     <div class="row g-4 align-items-end">

                         <div class="col-md-6">

                             <div class="form-group">

                                <label for="fname">First Name <span class="text-danger">*</span></label>

                                <input type="text" name="first_name" id="fname" class="form-control @error('first_name') is-invalid @enderror" required />

                                @error('first_name')

                                    <div class="invalid-feedback">{{$message}}</div>

                                @enderror

                             </div>

                         </div>

                         <div class="col-md-6">

                             <div class="form-group">

                                <label for="email">Email <span class="text-danger">*</span></label>

                                <input type="email" name="email" id="email" class="form-control @error('email') is-invalid @enderror" required />

                                @error('email')

                                    <div class="invalid-feedback">{{$message}}</div>

                                @enderror

                             </div>

                         </div>

                         <div class="col-md-6">

                             <div class="form-group">

                                <label for="phone-num">Mobile No <span class="text-danger">*</span></label>

                                <input type="tel" name="mobile" id="phone-num" class="form-control @error('mobile') is-invalid @enderror" required />

                                @error('mobile')

                                    <div class="invalid-feedback">{{$message}}</div>

                                @enderror

                             </div>

                         </div>

                         <div class="col-md-6">

                             <div class="form-group">

                                <label for="job-title">Job Title <span class="text-danger">*</span></label>

                                <input type="text" name="job_title" id="job-title" class="form-control @error('job_title') is-invalid @enderror" required />

                                @error('job_title')

                                    <div class="invalid-feedback">{{$message}}</div>

                                @enderror

                             </div>

                         </div>

                         <div class="col-md-6">

                             <div class="form-group">

                                <label for="company">Company <span class="text-danger">*</span></label>

                                <input type="text" name="company_name" id="company" class="form-control @error('company_name') is-invalid @enderror" required />

                                @error('company_name')

                                    <div class="invalid-feedback">{{$message}}</div>

                                @enderror

                             </div>

                         </div>

                         <div class="col-md-6">

                            <div class="form-group">

                                <label for="address">Address <span class="text-danger">*</span></label>

                                <input type="text" name="address" id="address" class="form-control @error('address') is-invalid @enderror" placeholder="Address" required />

                                @error('address')

                                    <div class="invalid-feedback">{{$message}}</div>

                                @enderror

                            </div>

                         </div>

                         <div class="col-md-6">

                             <div class="form-group">

                                <label for="country">Country</label>

                                <input type="text" name="country" id="country" class="form-control @error('country') is-invalid @enderror" placeholder="Country" required />

                                @error('country')

                                    <div class="invalid-feedback">{{$message}}</div>

                                @enderror

                             </div>

                         </div>

                         <div class="col-md-6">

                             <div class="form-group">

                                 <label for="state">State</label>

                                 <input type="text" name="state" id="state" class="form-control @error('state') is-invalid @enderror" placeholder="State" required />

                                @error('state')

                                    <div class="invalid-feedback">{{$message}}</div>

                                @enderror



                             </div>

                         </div>

                         <div class="col-md-6">

                             <div class="form-group">

                                 <label for="zip">Zip</label>

                                 <input type="text" name="zip" id="zip" class="form-control @error('zip') is-invalid @enderror" />

                                 @error('zip')

                                    <div class="invalid-feedback">{{$message}}</div>

                                @enderror

                             </div>

                         </div>

                         <div class="col-12">

                             <h5>Partner Type*</h5>

                             <p>Select the Partner Type you are interested in becoming: </p>

                             
                            @foreach($partner_types as $key => $partner_type)

                            <div class="form-check">

                                <input type="radio" name="partner_type" value="{{$partner_type}}" id="type{{$key}}" class="form-check-input">

                                <label for="type{{$key}}" class="form-check-label">{{$partner_type}}</label>

                            </div>

                            @endforeach

                            @error('partner_type')

                                <div class="text-danger">{{$message}}</div>

                            @enderror

                         </div>

                         <div class="col-12">

                             <h5>Comments</h5>

                             <p>

                                 Please include the following:

                             </p>

                             <div class="ps-4">

                                 <ul class="ps-0">

                                     <li>1. Reason your company wants to become a Partner.</li>

                                     <li>2. The geographic area your company currently covers.</li>

                                 </ul>

                                 <textarea name="comment" id="comment" cols="30" rows="4" class="form-control @error('comment') is-invalid @enderror"></textarea>

                                @error('comment')

                                    <div class="invalid-feedback">{{$message}}</div>

                                @enderror

                             </div>

                         </div>

                         <div class="col-12">

                             <div class="form-check">

                                 <input type="checkbox" name="terms" value="1" id="terms" class="form-check-input" checked>

                                 <label for="terms" class="form-check-label">Any Personal Data collected through

                                     request form is processed in accordance with our Privacy Statement for the purposes of

                                     fulfilling your inquiry for Apsys Networks information. </label>

                             </div>

                         </div>

                         <div class="col-md-12 text-end">

                             <button type="submit" class="btn-brand">Submit</button>

                         </div>

                     </div>

                 </form>



             </div>

             <!--.//container-->

         </section>



     </main>



 @endsection