@extends('client.layouts.main')

@section('title', $contact->exists ? 'Edit Contact' : 'Create Contact')

@section('content')
<div class="row">
    <div class="col-md-8">
        <div class="portlet light">
            <div class="portlet-title">
                <div class="caption"><span class="caption-subject theme-font bold uppercase">{{ $contact->exists ? 'Edit Contact' : 'New Contact' }}</span></div>
            </div>
            <form action="{{ $contact->exists ? route('client.contacts.update', $contact) : route('client.contacts.store') }}" method="POST">
                @csrf
                @if($contact->exists)
                    @method('PUT')
                @endif
                <div class="portlet-body">
                    <div class="form-group">
                        <label>Type <span class="text-danger">*</span></label>
                        <select name="type" class="form-control" required>
                            <option value="">-- Select Type --</option>
                            <option value="registrant" {{ old('type', $contact->type) == 'registrant' ? 'selected' : '' }}>Registrant</option>
                            <option value="admin" {{ old('type', $contact->type) == 'admin' ? 'selected' : '' }}>Admin</option>
                            <option value="tech" {{ old('type', $contact->type) == 'tech' ? 'selected' : '' }}>Tech</option>
                            <option value="billing" {{ old('type', $contact->type) == 'billing' ? 'selected' : '' }}>Billing</option>
                        </select>
                        @if ($errors->has('type'))<span class="help-block text-danger">{{ $errors->first('type') }}</span>@endif
                    </div>
                    <div class="row">
                        <div class="col-md-6">
                            <div class="form-group">
                                <label>First Name <span class="text-danger">*</span></label>
                                <input type="text" name="first_name" class="form-control" value="{{ old('first_name', $contact->first_name) }}" required>
                                @if ($errors->has('first_name'))<span class="help-block text-danger">{{ $errors->first('first_name') }}</span>@endif
                            </div>
                        </div>
                        <div class="col-md-6">
                            <div class="form-group">
                                <label>Last Name <span class="text-danger">*</span></label>
                                <input type="text" name="last_name" class="form-control" value="{{ old('last_name', $contact->last_name) }}" required>
                                @if ($errors->has('last_name'))<span class="help-block text-danger">{{ $errors->first('last_name') }}</span>@endif
                            </div>
                        </div>
                    </div>
                    <div class="form-group">
                        <label>Email <span class="text-danger">*</span></label>
                        <input type="email" name="email" class="form-control" value="{{ old('email', $contact->email) }}" required>
                        @if ($errors->has('email'))<span class="help-block text-danger">{{ $errors->first('email') }}</span>@endif
                    </div>
                    <div class="row">
                        <div class="col-md-4">
                            <div class="form-group">
                                <label>Phone Country Code</label>
                                <input type="text" name="phone_cc" class="form-control" value="{{ old('phone_cc', $contact->phone_cc) }}" placeholder="+1">
                                @if ($errors->has('phone_cc'))<span class="help-block text-danger">{{ $errors->first('phone_cc') }}</span>@endif
                            </div>
                        </div>
                        <div class="col-md-8">
                            <div class="form-group">
                                <label>Phone</label>
                                <input type="text" name="phone" class="form-control" value="{{ old('phone', $contact->phone) }}">
                                @if ($errors->has('phone'))<span class="help-block text-danger">{{ $errors->first('phone') }}</span>@endif
                            </div>
                        </div>
                    </div>
                    <div class="form-group">
                        <label>Company</label>
                        <input type="text" name="company" class="form-control" value="{{ old('company', $contact->company) }}">
                        @if ($errors->has('company'))<span class="help-block text-danger">{{ $errors->first('company') }}</span>@endif
                    </div>
                    <div class="row">
                        <div class="col-md-6">
                            <div class="form-group">
                                <label>Address Line 1</label>
                                <input type="text" name="address_line_1" class="form-control" value="{{ old('address_line_1', $contact->address_line_1) }}">
                                @if ($errors->has('address_line_1'))<span class="help-block text-danger">{{ $errors->first('address_line_1') }}</span>@endif
                            </div>
                        </div>
                        <div class="col-md-6">
                            <div class="form-group">
                                <label>Address Line 2</label>
                                <input type="text" name="address_line_2" class="form-control" value="{{ old('address_line_2', $contact->address_line_2) }}">
                                @if ($errors->has('address_line_2'))<span class="help-block text-danger">{{ $errors->first('address_line_2') }}</span>@endif
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-md-6">
                            <div class="form-group">
                                <label>City</label>
                                <input type="text" name="city" class="form-control" value="{{ old('city', $contact->city) }}">
                                @if ($errors->has('city'))<span class="help-block text-danger">{{ $errors->first('city') }}</span>@endif
                            </div>
                        </div>
                        <div class="col-md-6">
                            <div class="form-group">
                                <label>State</label>
                                <input type="text" name="state" class="form-control" value="{{ old('state', $contact->state) }}">
                                @if ($errors->has('state'))<span class="help-block text-danger">{{ $errors->first('state') }}</span>@endif
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-md-6">
                            <div class="form-group">
                                <label>Postal Code</label>
                                <input type="text" name="postal_code" class="form-control" value="{{ old('postal_code', $contact->postal_code) }}">
                                @if ($errors->has('postal_code'))<span class="help-block text-danger">{{ $errors->first('postal_code') }}</span>@endif
                            </div>
                        </div>
                        <div class="col-md-6">
                            <div class="form-group">
                                <label>Country</label>
                                <select name="country_code" class="form-control">
                                    <option value="">-- Select Country --</option>
                                    @foreach($countries as $country)
                                        <option value="{{ $country->code }}" {{ old('country_code', $contact->country_code) == $country->code ? 'selected' : '' }}>{{ $country->name }}</option>
                                    @endforeach
                                </select>
                                @if ($errors->has('country_code'))<span class="help-block text-danger">{{ $errors->first('country_code') }}</span>@endif
                            </div>
                        </div>
                    </div>
                    <div class="form-group">
                        <div class="checkbox">
                            <input type="hidden" name="is_default" value="0">
                            <label>
                                <input type="checkbox" name="is_default" value="1" id="is_default" {{ old('is_default', $contact->is_default) ? 'checked' : '' }}>
                                Set as Default Contact
                            </label>
                            @if ($errors->has('is_default'))<span class="help-block text-danger">{{ $errors->first('is_default') }}</span>@endif
                        </div>
                    </div>
                </div>
                <div class="panel-footer">
                    <button type="submit" class="btn btn-success">{{ $contact->exists ? 'Update Contact' : 'Create Contact' }}</button>
                    <a href="{{ route('client.contacts.index') }}" class="btn btn-warning">Cancel</a>
                </div>
            </form>
        </div>
    </div>
</div>
@endsection