@php
$categories = \Modules\Article\Entities\Category::getCategories();
$services = \Modules\Service\Entities\Service::getPageData(['limit' => 20, 'orderBy' => 'asc'])['pages'];
$hours = \Modules\Booking\Entities\BookingRequest::getServiceHours();
@endphp
<form class="contact-form custom-form-style-1" action="{{ route('booking.request.store.billing', $booking_request->id) }}" method="POST"
data-parsley-validate>
<input type="hidden" name="booking_request_id" value="{{ $booking_request->id }}">
@csrf
<div class="row">
<div class="col-md-8 col-lg-8 col-sm-12">
<h2>Provide Billing Address <span class="small text-xsm text-sm">(<span class="text-danger">*</span> fields
are mendatory)</span></h2>
<div class="row">
<div class="form-group col-sm-12 col-md-6 pb-1 mb-3">
<label for="first_name">First Name <span class="text-danger">*</span></label>
<input type="text" maxlength="100" class="form-control" id="first_name" name="first_name"
placeholder="Enter First Name" required>
</div>
<div class="form-group col-sm-12 col-md-6 pb-1 mb-3">
<label for="last_name">Last Name</label>
<input type="text" maxlength="100" class="form-control" id="last_name" name="last_name"
placeholder="Enter Last Name">
</div>
</div>
<div class="row">
<div class="form-group col-sm-12 col-md-6 pb-1 mb-3">
<label for="email">Email Address <span class="text-danger">*</span></label>
<input type="email" maxlength="100" class="form-control" id="email" name="email"
placeholder="Enter Email Address" required>
</div>
<div class="form-group col-sm-12 col-md-6 pb-1 mb-3">
<label for="phone_no">Phone No <span class="text-danger">*</span></label>
<input type="text" maxlength="100" class="form-control" id="phone_no" name="phone_no"
placeholder="Enter Phone No" required>
</div>
</div>
<div class="row">
<div class="form-group col-sm-12 col-md-12 pb-1 mb-3">
<label for="company_name">Company Name</label>
<input type="text" maxlength="100" class="form-control" id="company_name" name="company_name"
placeholder="Enter Company Name">
</div>
</div>
<div class="row">
<div class="form-group col-sm-12 col-md-6 pb-1 mb-3">
<label for="phone_no">State <span class="text-danger">*</span></label>
<select class="form-control" id="state" name="state">
<option value="ACT">Australian Capital Territory</option>
<option value="NSW" selected="selected">New South Wales</option>
<option value="NT">Northern Territory</option>
<option value="QLD">Queensland</option>
<option value="SA">South Australia</option>
<option value="TAS">Tasmania</option>
<option value="VIC">Victoria</option>
<option value="WA">Western Australia</option>
</select>
</div>
<div class="form-group col-sm-12 col-md-6 pb-1 mb-3">
<label for="city">City / Area <span class="text-danger">*</span></label>
<input type="text" maxlength="100" class="form-control" id="city" name="city"
placeholder="Enter City / Area Name" required>
</div>
</div>
<div class="row">
<div class="form-group col-sm-12 col-md-6 pb-1 mb-3">
<label for="address">Address <span class="text-danger">*</span></label>
<input type="text" maxlength="100" class="form-control" id="address" name="address"
placeholder="Enter Street Address" required>
</div>
<div class="form-group col-sm-12 col-md-6 pb-1 mb-3">
<label for="post_code">Post Code</label>
<input type="number" min="0" maxlength="100" class="form-control" id="post_code" name="post_code"
placeholder="Enter Post Code">
</div>
</div>
<div class="row">
<div class="form-group col-sm-12 col-md-12 pb-1 mb-3">
<label for="billing_message">Additional Message</label>
<textarea data-msg-required="Please enter your additional message (if any)" class="form-control"
id="billing_message" name="billing_message" placeholder="Enter your message (if any)"></textarea>
</div>
</div>
</div>
<div class="col-md-4 col-lg-4 col-sm-12">
<h2>Order Summary</h2>
<div class="row">
<div class="form-group col-sm-12 col-md-12 pb-1 mb-3">
<label for="message">Change Hour (If Needed)</label>
<select name="booking_hour" class="form-control" id="booking_hour">
@foreach ($hours as $key => $hour)
<option value="{{ $hour }}">{{ $key }}</option>
@endforeach
</select>
</div>
</div>
<table class="table table-bordered">
<tbody>
<tr>
<th>Service</th>
<td>{{ $service->title }}</td>
</tr>
<tr>
<th>Hour</th>
<td><span id="totalHour"></span>Hr</td>
</tr>
<tr>
<th>Unit Price</th>
<td>{{ $booking_request->booking_rate_value }}$</td>
</tr>
<tr>
<th colspan="2">
Time Schedule
</th>
</tr>
<tr>
<th>Date</th>
<td>{{ $booking_request->start_date }}</td>
</tr>
<tr>
<th>Time</th>
<td>{{ $booking_request->start_time }}</td>
</tr>
</tbody>
<tfoot>
<tr>
<th>Subtotal (+)</th>
<td><span id="booking_subtotal"></span>$</td>
</tr>
<tr>
<th>Total GST (+)</th>
<td><span id="booking_gst_rate"></span>% = <span id="booking_gst_amount"></span>$</td>
</tr>
<tr>
<th>Grand Total</th>
<td style="font-size: 20px; color: var(--color-primary)"><span id="booking_grand_total"></span>$</td>
</tr>
</tfoot>
</table>
<div class="row text-center">
<div class="form-group col">
<button type="submit" id="btn-form-submit"
class="btn btn-primary btn-modern font-weight-bold text-3 px-3 py-2"
data-loading-text="Loading...">
BOOK
</button>
<a href="{{ route('demo.business.booking_request.create') }}"
class="btn btn-secondary btn-modern font-weight-bold text-3 px-3 py-2" data-bs-dismiss="modal">
CANCEL
</a>
{{-- <button type="submit" id="btn-form-submit" class="btn btn-warning btn-modern font-weight-bold text-3 px-3 py-2" title="Book & Print Invoice">
<i class="fa fa-print"></i>
</button> --}}
</div>
</div>
</div>
</div>
</form>
|
Download
