70 lines
3.8 KiB
PHP
70 lines
3.8 KiB
PHP
@extends('layouts.guest')
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@section('content')
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<div class="">
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<div class="">
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<div class="card">
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<div class="card-header">Форма регистрации агентства</div>
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<div class="card-body">
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<form action="{{ route('company.create') }}" method="post">
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@csrf
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<div class="mb-3">
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<label for="companyName" class="form-label">Название компании</label>
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<input type="text" class="form-control" id="companyName" name="name"
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value="{{ old('name') }}">
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@error('name')
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<span class="invalid-feedback" role="alert">
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<strong>{{ $message }}</strong>
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</span>
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@enderror
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</div>
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<div class="mb-3">
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<label for="companyInn" class="form-label">ИНН</label>
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<input type="text" class="form-control" id="companyInn" name="inn"
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value="{{ old('inn') }}">
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@error('inn')
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<span class="invalid-feedback" role="alert">
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<strong>{{ $message }}</strong>
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</span>
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@enderror
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</div>
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<div class="mb-3">
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<label for="companyEmail" class="form-label">Электронная почта</label>
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<input type="text" class="form-control" id="companyEmail" name="email"
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value="{{ old('email') }}">
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@error('email')
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<span class="invalid-feedback" role="alert">
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<strong>{{ $message }}</strong>
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</span>
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@enderror
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</div>
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<div class="mb-3">
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<label for="companyPhone" class="form-label">Номер телефона</label>
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<input type="text" class="form-control" id="companyPhone" name="phone"
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value="{{ old('phone') }}">
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@error('phone')
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<span class="invalid-feedback" role="alert">
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<strong>{{ $message }}</strong>
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</span>
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@enderror
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</div>
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<div class="mb-3">
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<label for="companyLegalAddress" class="form-label">Юридический адрес</label>
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<input type="text" class="form-control" id="companyLegalAddress" name="legal_address"
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value="{{ old('legal_address') }}">
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@error('legal_address')
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<span class="invalid-feedback" role="alert">
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<strong>{{ $message }}</strong>
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</span>
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@enderror
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</div>
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<input type="submit" class="btn btn-primary" name="Отправить заявку">
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</form>
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</div>
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</div>
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</div>
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</div>
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@endsection
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