@extends('layouts.master')

@section('title') @lang('translation.Form_Wizard') @endsection

@section('content')

    <!-- start page title -->
    <div class="row align-items-center">
        <div class="col-sm-6">
            <div class="page-title-box">
                <h4 class="font-size-18">Form Wizard</h4>
                <ol class="breadcrumb mb-0">
                    <li class="breadcrumb-item"><a href="javascript: void(0);">Veltrix</a></li>
                    <li class="breadcrumb-item"><a href="javascript: void(0);">Forms</a></li>
                    <li class="breadcrumb-item active">Form Wizard</li>
                </ol>
            </div>
        </div>

        <div class="col-sm-6">
            <div class="float-right d-none d-md-block">
                <div class="dropdown">
                    <button class="btn btn-primary dropdown-toggle waves-effect waves-light" type="button"
                        data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
                        <i class="mdi mdi-settings mr-2"></i> Settings
                    </button>
                    <div class="dropdown-menu dropdown-menu-right">
                        <a class="dropdown-item" href="#">Action</a>
                        <a class="dropdown-item" href="#">Another action</a>
                        <a class="dropdown-item" href="#">Something else here</a>
                        <div class="dropdown-divider"></div>
                        <a class="dropdown-item" href="#">Separated link</a>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <!-- end page title -->

    <div class="row">
        <div class="col-sm-12">
            <div class="card">
                <div class="card-body">
                    <h4 class="card-title">Jquery Steps Wizard</h4>
                    <p class="card-title-desc">A powerful jQuery wizard plugin that
                        supports accessibility and HTML5</p>

                    <form id="form-horizontal" class="form-horizontal form-wizard-wrapper">
                        <h3>Seller Details</h3>
                        <fieldset>
                            <div class="row">
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtFirstNameBilling" class="col-lg-3 col-form-label">Contact
                                            Person</label>
                                        <div class="col-lg-9">
                                            <input id="txtFirstNameBilling" name="txtFirstNameBilling" type="text"
                                                class="form-control">
                                        </div>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtLastNameBilling" class="col-lg-3 col-form-label">Mobile No.</label>
                                        <div class="col-lg-9">
                                            <input id="txtLastNameBilling" name="txtLastNameBilling" type="text"
                                                class="form-control">
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtCompanyBilling" class="col-lg-3 col-form-label">Landline No.</label>
                                        <div class="col-lg-9">
                                            <input id="txtCompanyBilling" name="txtCompanyBilling" type="text"
                                                class="form-control">
                                        </div>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtEmailAddressBilling" class="col-lg-3 col-form-label">Email
                                            Address</label>
                                        <div class="col-lg-9">
                                            <input id="txtEmailAddressBilling" name="txtEmailAddressBilling" type="text"
                                                class="form-control">
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtAddress1Billing" class="col-lg-3 col-form-label">Address 1</label>
                                        <div class="col-lg-9">
                                            <textarea id="txtAddress1Billing" name="txtAddress1Billing" rows="4"
                                                class="form-control"></textarea>
                                        </div>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtAddress2Billing" class="col-lg-3 col-form-label">Warehouse
                                            Address</label>
                                        <div class="col-lg-9">
                                            <textarea id="txtAddress2Billing" name="txtAddress2Billing" rows="4"
                                                class="form-control"></textarea>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtCityBilling" class="col-lg-3 col-form-label">Company Type</label>
                                        <div class="col-lg-9">
                                            <input id="txtCityBilling" name="txtCityBilling" type="text"
                                                class="form-control">
                                        </div>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtStateProvinceBilling" class="col-lg-3 col-form-label">Live Market
                                            A/C</label>
                                        <div class="col-lg-9">
                                            <input id="txtStateProvinceBilling" name="txtStateProvinceBilling" type="text"
                                                class="form-control">
                                        </div>
                                    </div>
                                </div>
                            </div>

                            <div class="row">
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtTelephoneBilling" class="col-lg-3 col-form-label">Product
                                            Category</label>
                                        <div class="col-lg-9">
                                            <input id="txtTelephoneBilling" name="txtTelephoneBilling" type="text"
                                                class="form-control">
                                        </div>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtFaxBilling" class="col-lg-3 col-form-label">Product Sub
                                            Category</label>
                                        <div class="col-lg-9">
                                            <input id="txtFaxBilling" name="txtFaxBilling" type="text" class="form-control">
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </fieldset>
                        <h3>Company Document</h3>
                        <fieldset>
                            <div class="row">
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtFirstNameShipping" class="col-lg-3 col-form-label">PAN Card</label>
                                        <div class="col-lg-9">
                                            <input id="txtFirstNameShipping" name="txtFirstNameShipping" type="text"
                                                class="form-control">
                                        </div>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtLastNameShipping" class="col-lg-3 col-form-label">VAT/TIN No.</label>
                                        <div class="col-lg-9">
                                            <input id="txtLastNameShipping" name="txtLastNameShipping" type="text"
                                                class="form-control">
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtCompanyShipping" class="col-lg-3 col-form-label">CST No.</label>
                                        <div class="col-lg-9">
                                            <input id="txtCompanyShipping" name="txtCompanyShipping" type="text"
                                                class="form-control">
                                        </div>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtEmailAddressShipping" class="col-lg-3 col-form-label">Service Tax
                                            No.</label>
                                        <div class="col-lg-9">
                                            <input id="txtEmailAddressShipping" name="txtEmailAddressShipping" type="text"
                                                class="form-control">
                                        </div>
                                    </div>
                                </div>
                            </div>

                            <div class="row">
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtCityShipping" class="col-lg-3 col-form-label">Company UIN</label>
                                        <div class="col-lg-9">
                                            <input id="txtCityShipping" name="txtCityShipping" type="text"
                                                class="form-control">
                                        </div>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtStateProvinceShipping"
                                            class="col-lg-3 col-form-label">Declaration</label>
                                        <div class="col-lg-9">
                                            <input id="txtStateProvinceShipping" name="txtStateProvinceShipping" type="text"
                                                class="form-control">
                                        </div>
                                    </div>
                                </div>
                            </div>

                        </fieldset>
                        <h3>Bank Details</h3>
                        <fieldset>
                            <div class="row">
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtNameCard" class="col-lg-3 col-form-label">Name on Card</label>
                                        <div class="col-lg-9">
                                            <input id="txtNameCard" name="txtNameCard" type="text" class="form-control">
                                        </div>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="ddlCreditCardType" class="col-lg-3 col-form-label">Credit Card
                                            Type</label>
                                        <div class="col-lg-9">
                                            <select id="ddlCreditCardType" name="ddlCreditCardType" class="form-control">
                                                <option value="">--Please Select--</option>
                                                <option value="AE">American Express</option>
                                                <option value="VI">Visa</option>
                                                <option value="MC">MasterCard</option>
                                                <option value="DI">Discover</option>
                                            </select>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtCreditCardNumber" class="col-lg-3 col-form-label">Credit Card
                                            Number</label>
                                        <div class="col-lg-9">
                                            <input id="txtCreditCardNumber" name="txtCreditCardNumber" type="text"
                                                class="form-control">
                                        </div>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtCardVerificationNumber" class="col-lg-3 col-form-label">Card
                                            Verification Number</label>
                                        <div class="col-lg-9">
                                            <input id="txtCardVerificationNumber" name="txtCardVerificationNumber"
                                                type="text" class="form-control">
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-6">
                                    <div class="form-group row">
                                        <label for="txtExpirationDate" class="col-lg-3 col-form-label">Expiration
                                            Date</label>
                                        <div class="col-lg-9">
                                            <input id="txtExpirationDate" name="txtExpirationDate" type="text"
                                                class="form-control">
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </fieldset>
                        <h3>Confirm Detail</h3>
                        <fieldset>
                            <div class="p-3">
                                <div class="custom-control custom-checkbox">
                                    <input type="checkbox" class="custom-control-input" id="customCheck1">
                                    <label class="custom-control-label" for="customCheck1">I agree with the Terms and
                                        Conditions.</label>
                                </div>
                            </div>
                        </fieldset>
                    </form>


                </div>
            </div>
        </div>
    </div>
    <!-- end row -->

@endsection

@section('script')
    <!-- Plugins js -->
    <script src="{{ URL::asset('/assets/libs/jquery-steps/jquery-steps.min.js') }}"></script>

    <script src="{{ URL::asset('/assets/js/pages/form-wizard.init.js') }}"></script>
@endsection