{!! Html::flash_msg_front() !!}
{!! Form::open(array('url' => '/checkout', 'method' => 'post', 'class' => 'row-fluid full-width uk-margin-large-top input-100 bill-info uk-form','id'=>'page_form')) !!}
-
Billing Address
{!! Form::label('firstname', '* First Name',array( )); !!} {!! Form::text('firstname',isset($billing->fldClientsBillingFirstname) ? $billing->fldClientsBillingFirstname : "",array('id'=>'firstname','required','class'=>'form-control')) !!}{!! Form::label('lastname', '* Last Name',array( )); !!} {!! Form::text('lastname',isset($billing->fldClientsBillingLastname) ? $billing->fldClientsBillingLastname : "",array('id'=>'lastname','required','class'=>'form-control')) !!}{!! Form::label('email', '* Email Address',array( )); !!} {!! Form::email('email',isset($billing->fldClientsBillingEmail) ? $billing->fldClientsBillingEmail : "",array('id'=>'email','required email','class'=>'form-control')) !!}{!! Form::label('phone', '* Phone Number',array( )); !!} {!! Form::text('phone',isset($billing->fldClientsBillingPhone) ? $billing->fldClientsBillingPhone : "",array('id'=>'phone','required','class'=>'form-control')) !!}{!! Form::label('country', '* Country'); !!} {!! Form::select('country',array('0' => 'Select one')+App\Models\Country::displayCountry(),isset($billing->fldClientsBillingCountry) ? $billing->fldClientsBillingCountry : "US",array('id'=>'country','data-placeholder'=>'Select Country','class'=>'form-control')) !!}{!! Form::label('address', '* Address',array( )); !!} {!! Form::text('address',isset($billing->fldClientsBillingAddress) ? $billing->fldClientsBillingAddress : "",array('id'=>'address','required','class'=>'form-control','placeholder'=>'Street Address')) !!}{!! Form::text('address1',isset($billing->fldClientsBillingAddress1) ? $billing->fldClientsBillingAddress1 : "",array('id'=>'address2','class'=>'form-control','placeholder'=>'Apartment, suite, unit, ect. (optional)')) !!}{!! Form::label('city', '* City',array( )); !!} {!! Form::text('city',isset($billing->fldClientsBillingCity) ? $billing->fldClientsBillingCity : "",array('id'=>'city','required', 'class'=>'form-control')) !!}{!! Form::label('state', '* State',array('id'=>'stateBillingText')); !!} {!! Form::select('state',array('0' => 'Select one')+App\Models\State::displayState(),isset($billing->fldClientsBillingState) ? $billing->fldClientsBillingState : "0",array('onchange' => 'checkTax(this.value)', 'id'=>'state','data-placeholder'=>'Select State', 'class'=>'form-control')) !!}{!! Form::label('zip', '* Zip Code',array( )); !!} {!! Form::text('zip',isset($billing->fldClientsBillingZip) ? $billing->fldClientsBillingZip : "",array('id'=>'zip','required','class'=>'form-control')) !!} -
Shipping Address
Please fill out your Shipping information below.
{!! Form::label('shipping_firstname', '* First Name',array( )); !!} {!! Form::text('shipping_firstname',isset($shipping->fldClientsShippingFirstname) ? $shipping->fldClientsShippingFirstname : "",array('id'=>'shipping_firstname','required','class'=>'form-control')) !!}{!! Form::label('shipping_lastname', '* Last Name',array( )); !!} {!! Form::text('shipping_lastname',isset($shipping->fldClientsShippingLastname) ? $shipping->fldClientsShippingLastname : "",array('id'=>'shipping_lastname','class'=>'form-control')) !!}{!! Form::label('shipping_email', '* Email Address',array( )); !!} {!! Form::text('shipping_email',isset($shipping->fldClientsShippingEmail) ? $shipping->fldClientsShippingEmail : "",array('id'=>'shipping_email','class'=>'form-control')) !!}{!! Form::label('shipping_phone', '* Phone Number',array( )); !!} {!! Form::text('shipping_phone',isset($shipping->fldClientsShippingPhone) ? $shipping->fldClientsShippingPhone : "",array('id'=>'shipping_phone','required','class'=>'form-control')) !!}{!! Form::label('shipping_country', '* Country'); !!} {!! Form::select('shipping_country',array('0' => 'Select one')+App\Models\Country::displayCountry(),isset($shipping->fldClientsShippingCountry) ? $shipping->fldClientsShippingCountry : 'US',array('id'=>'shipping_country','data-placeholder'=>'Select Country','class'=>'form-control')) !!}{!! Form::label('shipping_address', '* Address',array( )); !!} {!! Form::text('shipping_address',isset($shipping->fldClientsShippingAddress) ? $shipping->fldClientsShippingAddress : "",array('id'=>'shipping_address','required','class'=>'form-control')) !!}{!! Form::text('shipping_address1',isset($shipping->fldClientsShippingAddress1) ? $shipping->fldClientsShippingAddress1 : "",array('id'=>'shipping_address1','class'=>'form-control','placeholder'=>'Apartment, suite, unit, ect. (optional)')) !!}{!! Form::label('shipping_city', '* City',array( )); !!} {!! Form::text('shipping_city',isset($shipping->fldClientsShippingCity) ? $shipping->fldClientsShippingCity : "",array('id'=>'shipping_city','required','class'=>'form-control')) !!}{!! Form::label('shipping_state', '* State',array('id'=>'stateShippingText')) !!} {!! Form::select('shipping_state',array('0' => 'Select one')+App\Models\State::displayState(),isset($shipping->fldClientsShippingState) ? $shipping->fldClientsShippingState : "0",array('id'=>'shipping_state','data-placeholder'=>'Select State','class'=>'form-control')) !!}{!! Form::label('shipping_zip', '* Zip Code',array( )); !!} {!! Form::text('shipping_zip',isset($shipping->fldClientsShippingZip) ? $shipping->fldClientsShippingZip : "",array('id'=>'shipping_zip','required','class'=>'form-control')) !!} -
Payment Method
Please fill out your select your payment method.
@include('home.braintree_cc')
Order Total
PRODUCT | TOTAL | |
{!! $carts->product_name !!} ( {!! $carts->quantity !!} ){!! $carts->product_sub_title !!}
|
$ @if(empty($carts->total)) |