55 lines
2.2 KiB
PHP
55 lines
2.2 KiB
PHP
@extends('layouts.main')
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@section('content')
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<h2><i class="fas fa-users"></i> Créer un contact</h2>
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<div class="form-wrapper">
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{!! Form::open(['route' => 'contact.store', 'enctype' => 'multipart/form-data']) !!}
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<div class="form-split">
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<div class="form-field">
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{!! Form::label('contact_ref', 'Ref *') !!}
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{!! Form::input('text', 'contact_ref', null, ['required']) !!}
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</div>
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<div class="form-field">
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{!! Form::label('contact_email', 'Email *') !!}
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{!! Form::email('contact_email', null, ['required']) !!}
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</div>
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</div>
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<div class="form-split">
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<div class="form-field">
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{!! Form::label('contact_nom', 'Nom *') !!}
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{!! Form::input('text','contact_nom', null, ['required']) !!}
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</div>
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<div class="form-field">
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{!! Form::label('contact_prenom', 'Prénom *') !!}
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{!! Form::input('text','contact_prenom', null, ['required']) !!}
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</div>
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</div>
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<div class="form-split">
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<div class="form-field">
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{!! Form::label('contact_cp', 'Code Postal *') !!}
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{!! Form::input('text','contact_cp', null, ['required']) !!}
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</div>
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<div class="form-field">
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{!! Form::label('contact_ville', 'Ville *') !!}
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{!! Form::input('text','contact_ville', null, ['required']) !!}
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</div>
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</div>
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<div class="form-split">
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<div class="form-field">
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<label for="contact_country">Pays</label>
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<select name="contact_country" id="contact_country">
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<option value="250">France</option>
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<option value="056">Belgique</option>
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<option value="442">Luxembourg</option>
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</select>
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</div>
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</div>
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<div class="form-field submit">
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<span>Les champs avec un * sont obligatoires</span>
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{!! Form::submit('Enregistrer') !!}
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</div>
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{!! Form::close() !!}
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</div>
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@endsection
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