<?php $__env->startSection('styles'); ?>
	<link rel="stylesheet" href="<?php echo e(asset('/css/bootstrap-toggle.min.css')); ?>">
<?php $__env->stopSection(); ?>

<?php $__env->startSection('contents'); ?>
	<div id="contents" class="presentation">
		<div class="col-md-6 content-items">
			<div class="content-item">
				<?php if(isset($success)): ?>
					<h2>Thank You!</h2>
					<p>We have received your request and we will get back to you as soon as possible.</p>
				<?php else: ?>
					<h2><?php echo e($content->page_title); ?></h2>
					<?php echo e($content->content); ?>


					<?php echo Form::open(); ?>

						<div class="form-group">
							<label for="firstname">Firstname</label>
							<input type="text" name="firstname" id="firstname" class="form-control" required>
						</div>
						<div class="form-group">
							<label for="lastname">Surname</label>
							<input type="text" name="lastname" id="lastname" class="form-control" required>
						</div>
						<div class="form-group">
							<label for="email">Email Address</label>
							<input type="email" name="email" id="email" class="form-control" required>
						</div>
						<div class="form-group">
							<label for="address1">Address Line One</label>
							<input type="text" name="address1" id="address1" class="form-control">
						</div>
						<div class="form-group">
							<label for="address2">Address Line Two</label>
							<input type="text" name="address2" id="address2" class="form-control">
						</div>
						<div class="form-group">
							<label for="town">Town</label>
							<input type="text" name="town" id="town" class="form-control">
						</div>
						<div class="row">
							<div class="col-md-6">
								<div class="form-group">
									<label for="country">Country</label>
									<input type="text" name="country" id="country" class="form-control">
								</div>
							</div>
							<div class="col-md-6">
								<div class="form-group">
									<label for="postcode">Postcode</label>
									<input type="text" name="postcode" id="postcode" class="form-control">
								</div>
							</div>
							<div class="clearfix"></div>
						</div>
						<div class="form-group">
							<div class="row">
								<div class="col-md-6"> 
									<label for="phone">Telephone Number</label>
									<input type="text" name="phone" id="phone" class="form-control" required>
								</div>
								<div class="col-md-6 toggle">
									<label for="existing">Are you an existing owner?</label>
									<input id="toggle-one" type="checkbox" data-on="Yes" data-off="No" name="existing">
								</div>
							</div>
						</div>
						<div class="form-group">
							<label for="comments">Comments</label>
							<textarea name="comments" id="comments" rows="10" class="form-control"></textarea>
						</div>
						<div class="form-group text-right">
							<button class="btn btn-success btn-lg" type="submit"><i class="fa fa-send"></i> Submit</button>
						</div>

					<?php echo Form::close(); ?>

				<?php endif; ?>
			</div>
		</div>
	</div>
<?php $__env->stopSection(); ?>

<?php $__env->startSection('scripts'); ?>
	<script type="text/javascript" src="<?php echo e(asset('/js/bootstrap-toggle.min.js')); ?>"></script>
	<script>
	  $(function() {
	    $('#toggle-one').bootstrapToggle();
	  })
	</script>
<?php $__env->stopSection(); ?>
<?php echo $__env->make('masters.base', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>