master
parent
fb13d307da
commit
70110867aa
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@ -3,7 +3,7 @@
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<component name="ChangeListManager">
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<list default="true" id="63513c45-0a61-435e-8541-3831c195f7c0" name="Changes" comment="">
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<change beforePath="$PROJECT_DIR$/.idea/workspace.xml" beforeDir="false" afterPath="$PROJECT_DIR$/.idea/workspace.xml" afterDir="false" />
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<change beforePath="$PROJECT_DIR$/content/master.blade.php" beforeDir="false" afterPath="$PROJECT_DIR$/content/master.blade.php" afterDir="false" />
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<change beforePath="$PROJECT_DIR$/content/pages/checkout.blade.php" beforeDir="false" afterPath="$PROJECT_DIR$/content/pages/checkout.blade.php" afterDir="false" />
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</list>
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<option name="SHOW_DIALOG" value="false" />
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<option name="HIGHLIGHT_CONFLICTS" value="true" />
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@ -120,7 +120,7 @@
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<br>
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@endif
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<x-form id="anfrage" id-name="anfrage" channels="bestaetigung,airtable">
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<div class="mb-3">
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<div class="mb-4">
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<label for="" class="form-label">Anrede</label>
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<select class="form-select" name="anrede" aria-label="Default select example">
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<option selected>Herr</option>
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@ -128,47 +128,71 @@
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<option>Firma</option>
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</select>
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</div>
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<div class="mb-3">
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<div class="mb-4">
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<label for="" class="form-label">Vorname</label>
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<input type="text" class="form-control" name="vorname" aria-describedby="" placeholder="Maximilian">
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</div>
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<div class="mb-3">
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<div class="mb-4">
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<label for="" class="form-label">Nachname</label>
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<input type="text" class="form-control" name="nachname" aria-describedby="" placeholder="Meyer">
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<input type="text" class="form-control" name="nachname" aria-describedby="" placeholder="Mustermann">
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</div>
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<div class="mb-3">
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<div class="mb-4">
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<label for="exampleInputEmail1" class="form-label">E-Mail</label>
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<input type="email" class="form-control" name="email" aria-describedby="emailHelp" placeholder="max.mustermann@areya.de">
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</div>
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<div class="mb-3">
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<div class="mb-4">
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<label for="exampleInputEmail1" class="form-label">Telefon</label>
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<input type="text" class="form-control" name="telefon" id="ctelefon" aria-describedby="emailHelp" placeholder="0941467233">
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</div>
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<div class="mb-3">
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<div class="mb-4">
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<label for="exampleInputPassword1" class="form-label">Adresse</label>
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<input type="text" class="form-control fieldLocation" id="field_location" name="adresse" placeholder="Neuenhammerstr. 44, 92714 Pleystein" id="exampleInputPassword1">
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<input type="text" class="form-control fieldLocation mb-3" id="field_location" name="adresse" placeholder="Musterstrasse. 12, 12345 Musterstadt" id="exampleInputPassword1" required>
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<div id="address-components" style="display: none;">
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<div class="input-group">
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<span class="input-group-text" id="basic-addon3">Street Number</span>
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<input type="text" class="form-control" id="street-number" disabled>
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</div>
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<div class="input-group">
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<span class="input-group-text" id="basic-addon3">Route</span>
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<input type="text" class="form-control" id="route" disabled>
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</div>
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<div class="input-group">
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<span class="input-group-text" id="basic-addon3">Locality</span>
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<input type="text" class="form-control" id="locality" disabled>
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</div>
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<div class="input-group">
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<span class="input-group-text" id="basic-addon3">Postal Code</span>
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<input type="text" class="form-control" id="postal-code" disabled>
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<div class="row mb-4">
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<div class="col-8">
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<div class="input-group input-group-sm mb-2">
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<span class="input-group-text" id="basic-addon3">Straße:</span>
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<input type="text" class="form-control" id="route" disabled>
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</div>
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</div>
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<div class="col-4">
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<div class="input-group input-group-sm mb-2">
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<span class="input-group-text" id="basic-addon3">Nr.:</span>
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<input type="text" class="form-control" id="street-number" disabled required>
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</div>
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</div>
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<div class="col-4">
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<div class="input-group input-group-sm mb-2">
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<span class="input-group-text" id="basic-addon3">Postleitzahl</span>
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<input type="text" class="form-control" id="postal-code" disabled>
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</div>
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</div>
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<div class="col-8">
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<div class="input-group input-group-sm mb-2">
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<span class="input-group-text" id="basic-addon3">Ort:</span>
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<input type="text" class="form-control" id="locality" disabled>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="mb-3 form-check mb-4">
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<div class="mb-4 form-check mt-5">
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<input type="checkbox" class="form-check-input" id="exampleCheck1" required>
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<label class="form-check-label" for="exampleCheck1">Ich habe die Datenschutzbestimmungen gelesen und akzeptiert.</label>
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<label class="form-check-label" for="exampleCheck1">Ich habe die AGB und Datenschutzbestimmungen gelesen und akzeptiert.</label>
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</div>
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<div class="text-end">
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<button type="submit" class="btn-success btn mt-3">
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Loading…
Reference in New Issue