63 lines
3.1 KiB
PHP
63 lines
3.1 KiB
PHP
@extends('theme::layout')
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@section('title', 'Preuve de gain')
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@section('content')
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<p>Envoyer vos preuves de gain</p>
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<form method="POST" action="{{ route('fo.send-winning-proof') }}" enctype="multipart/form-data">
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@method('PUT')
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@csrf
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@if ($errors->any())
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<div class="alert alert-danger">
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<ul>
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@foreach ($errors->all() as $error)
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<li>{{ $error }}</li>
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@endforeach
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</ul>
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</div>
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@endif
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<div class="form-group">
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<input class="form-control" name="lastname" type="text" value="{{ Auth::user()->lastname }}" placeholder="Nom *" required>
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</div>
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<div class="form-group">
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<input class="form-control" name="firstname" type="text" value="{{ Auth::user()->firstname }}" placeholder="Prénom *" required>
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</div>
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<div class="form-group">
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<input class="form-control" name="address" type="text" value="{{ Auth::user()->address }}" placeholder="Adresse *" required>
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</div>
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<div class="form-group">
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<input class="form-control" name="address2" type="text" value="{{ Auth::user()->address2 }}"
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placeholder="Adresse complémentaire">
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</div>
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<div class="form-group">
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<input class="form-control" name="town" type="text" value="{{ Auth::user()->town }}" placeholder="Ville *" required>
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</div>
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<div class="form-group">
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<input class="form-control" name="postal_code" type="text" value="{{ Auth::user()->postal_code }}" placeholder="Code postal *"
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required>
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</div>
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<div class="form-group">
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<input class="form-control" name="country" type="text" value="{{ Auth::user()->country }}" placeholder="Pays *" required>
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</div>
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<div class="form-group">
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<input class="form-control" name="phone" type="text" placeholder="Téléphone *" required>
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</div>
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<div class="form-group">
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<label for="sticker">Stickers <small class="text-muted">Format : png, jpeg, jpg, pdf - Taille max. : 1,5Mo.</small></label><br />
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<input class="input-file" id="sticker" name="sticker" type="file" accept="image/png, image/jpeg, pdf" required>
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</div>
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<div class="form-group">
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<label for="ticket">Ticket de caisse <small class="text-muted">Format : png, jpeg, jpg, pdf - Taille max. :
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1,5Mo.</small></label><br />
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<input class="input-file" id="ticket" name="ticket" type="file" accept="image/png, image/jpeg, pdf" required>
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</div>
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<div class="form-group">
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<label for="barcode">Code barres <small class="text-muted">Format : png, jpeg, jpg, pdf - Taille max. :
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1,5Mo.</small></label><br />
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<input class="input-file" id="barcode" name="barcode" type="file" accept="image/png, image/jpeg, pdf" required>
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</div>
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<div class="form-group text-center">
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<input class="btn btn-success" type="submit" value="Envoyer">
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</div>
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</form>
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@endsection
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