@extends('layouts.app')

@section('title', 'RC  PROPRIETAIRE D’EQUIDES  - EquitAssistance')
@section('meta_description', 'Découvrez les prestations et garanties du contrat  RC PROPRIETAIRE D’EQUIDES . Bénéficiez d’une assistance complète grâce à notre réseau d’assisteurs spécialisés.')
@section('robots', 'index follow')

@section('content')

    <div class="page-header parallaxie">
        <div class="container">
            <div class="row">
                <div class="col-lg-12">
                    <div class="page-header-box">
                        <h1>Contrats et Garanties Équestre</h1>
                        <nav class="wow fadeInUp">
                            <ol class="breadcrumb">
                                <li class="breadcrumb-item"><a href="./">Accueil</a></li>
                                <li class="breadcrumb-item active" aria-current="page">Contrats et Garanties Équestre</li>
                            </ol>
                        </nav>
                    </div>
                </div>
            </div>
        </div>
    </div>

    <div class="page-project-single">
        <div class="container">
            <div class="row">
                <div class="col-lg-12">

                <div class="col-12">
                    <div class="contact-information">
                        <div class="section-title">
                            <p class="wow fadeInUp">devis</p>
                            <h2>Votre devis Equi Sulky </h2>
                            Assurances de  dommages  tous risque sulky
                        </div>
                    </div>
                </div>

                <div class="col-12">
                    @error('garantie')
                        <div class="alert alert-danger my-3">{{ $message }}</div>
                    @enderror
                    <form id="contactForm" action="{{ route('equisulky.devis') }}" method="POST" data-toggle="validator" class="contact-us-form wow fadeInUp" data-wow-delay="0.5s">
                        @csrf
                        <input type="text" name="website" class="d-none" tabindex="-1" autocomplete="off">

                        <div class="mb-4">
                            <p class="title-devis">Etape 1 :</p>
                            <div class="section-title mb-2">
                                <p class="wow fadeInUp mt-1" data-wow-delay="0.25s">Vos coordonnées</p>
                            </div>
                            <div class="contact-form">
                                <div class="row">
                                    <div class="form-group col-md-6 mb-3">
                                        <input type="text" name="nom" class="form-control" id="nom" placeholder="Nom du soucripteur" value="{{ old('nom') }}" required>
                                        <div class="help-block with-errors"></div>
                                        @error('nom')
                                            <div class="text-danger">{{ $message }}</div>
                                        @enderror
                                    </div>
                                    <div class="form-group col-md-6 mb-3">
                                        <input type="text" name="prenom" class="form-control" id="prenom" placeholder="Prénom du souscripteur" value="{{ old('prenom') }}" required>
                                        <div class="help-block with-errors"></div>
                                        @error('prenom')
                                            <div class="text-danger">{{ $message }}</div>
                                        @enderror
                                    </div>
                                    <div class="form-group col-md-6 mb-3">
                                        <input type="text" name="adresse" class="form-control" id="adresse" placeholder="Adresse" value="{{ old('adresse') }}" required>
                                        <div class="help-block with-errors"></div>
                                        @error('adresse')
                                            <div class="text-danger">{{ $message }}</div>
                                        @enderror
                                    </div>
                                    <div class="form-group col-md-2 mb-3">
                                        <input type="text" name="cp" class="form-control" id="cp" placeholder="Code postal" value="{{ old('cp') }}" required>
                                        <div class="help-block with-errors"></div>
                                        @error('cp')
                                            <div class="text-danger">{{ $message }}</div>
                                        @enderror
                                    </div>
                                    <div class="form-group col-md-4 mb-3">
                                        <input type="text" name="ville" class="form-control" id="ville" placeholder="Ville" value="{{ old('ville') }}" required>
                                        <div class="help-block with-errors"></div>
                                        @error('ville')
                                            <div class="text-danger">{{ $message }}</div>
                                        @enderror
                                    </div>
                                    <div class="col-sm-12">
                                        <div class="position-relative">
                                            <ul class="list-group custom-list" id="listLocation">
                                            </ul>
                                        </div>
                                    </div>
                                    <div class="col-md-6 mb-3">
                                        <div class="form-select-devis">
                                            <div class="form-check form-check-inline">
                                                <input class="form-check-input" type="radio" name="type_client" id="particulier" value="part" {{ old('type_client', 'part') == 'part' ? 'checked' : '' }}>
                                                <label class="form-check-label" for="particulier">
                                                    Particulier
                                                </label>
                                            </div>
                                            <div class="form-check form-check-inline">
                                                <input class="form-check-input" type="radio" name="type_client" id="professionnel" value="pro1" {{ old('type_client', 'part') == 'pro1' ? 'checked' : '' }}>
                                                <label class="form-check-label" for="professionnel">
                                                    Professionnel
                                                </label>
                                            </div>

                                            @error('type_client')
                                            <div class="text-danger">{{ $message }}</div>
                                            @enderror
                                        </div>

                                    </div>
                                    <div class="form-group col-md-2 mb-3">
                                        <input type="text" name="phone" class="form-control" id="phone" placeholder="Téléphone" value="{{ old('phone') }}" required>
                                        <div class="help-block with-errors"></div>
                                        @error('phone')
                                        <div class="text-danger">{{ $message }}</div>
                                        @enderror
                                    </div>
                                    <div class="form-group col-md-4 mb-3">
                                        <input type="email" name ="email" class="form-control" id="email" placeholder="Email" value="{{ old('email') }}" required>
                                        <div class="help-block with-errors"></div>
                                        @error('email')
                                            <div class="text-danger">{{ $message }}</div>
                                        @enderror
                                    </div>
                                    <div class="form-group col-md-12 mb-3">
                                        <textarea name="message" class="form-control" id="message" rows="3" placeholder="Message">{{ old('message') }}</textarea>
                                        <div class="help-block with-errors"></div>
                                        @error('message')
                                            <div class="text-danger">{{ $message }}</div>
                                        @enderror
                                    </div>

                                    <div class="form-group col-md-2 mb-3">
                                       Code apporteur <input type="text" name="codeapporteur" class="form-control" id="codeapporteur" placeholder="" value="{{ old('codeapporteur') }}" >
                                        <div class="help-block with-errors"></div>
                                        @error('cp')
                                            <div class="text-danger">{{ $message }}</div>
                                        @enderror
                                    </div>
                                </div>
                            </div>
                        </div>

                        <div>
                            <p class="title-devis">Etape 2 :</p>
                            <div class="section-title mb-2">
                                <p class="wow fadeInUp mt-1" data-wow-delay="0.25s">INFORMATION SUR LE SULKY</p>
                            </div>
                            <div class="contact-form">
                                <div class="row">
                                <div class="form-group col-md-4 mb-3">
                                        <input type="text" name="sulky_marque" class="form-control" id="sulky_marque" placeholder="Marque du sulky" value="{{ old('sulky_marque') }}" required>
                                        <div class="help-block with-errors"></div>
                                        @error('sulky_marque')
                                        <div class="text-danger">{{ $message }}</div>
                                        @enderror
                                </div>
                                <div class="form-group col-md-4 mb-3">
                                        <input type="text" name="sulky_modele" class="form-control" id="sulky_modele" placeholder="Modele" value="{{ old('sulky_modele') }}" required>
                                        <div class="help-block with-errors"></div>
                                        @error('sulky_modele')
                                        <div class="text-danger">{{ $message }}</div>
                                        @enderror
                                </div>
                                </div>
                                <div class="row">
                                    <div class="form-group col-md-2 mb-2">Date d'achat
                                    </div>
                                    <div class="form-group col-md-4 mb-3">
                                            <input type="date" name="sulky_date_achat" class="form-control" id="sulky_date_achat" placeholder="Date d'achat" value="{{ old('sulky_date_achat') }}" required>
                                            <div class="help-block with-errors"></div>
                                            @error('sulky_date_achat')
                                            <div class="text-danger">{{ $message }}</div>
                                            @enderror
                                    </div>


                                </div>
                                <div class="row">
                                    <div class="form-group col-md-2 mb-2">Valeur
                                    </div>
                                    <div class="form-group col-md-4 mb-3">
                                            <input type="number" name="sulky_valeur" class="form-control" id="sulky_valeur" placeholder="" value="{{ old('sulky_valeur') }}" required>
                                            <div class="help-block with-errors"></div>
                                            @error('sulky_valeur')
                                            <div class="text-danger">{{ $message }}</div>
                                            @enderror
                                    </div>


                                </div>
                            </div>
                        </div>

                        <div>
                            <p class="title-devis">Etape 3 :</p>
                            <div class="section-title mb-2">
                                <p class="wow fadeInUp mt-1" data-wow-delay="0.25s">DATE D'EFFET</p>
                            </div>
                            <div class="contact-form">



                                <div class="row">
                                <div class="form-group col-md-4">
                                        <input type="date" name="date_effet" class="form-control" id="date_effet" placeholder="Date effet" value="{{ old('date_effet') }}" required>
                                        <div class="help-block with-errors"></div>
                                        @error('date_effet')
                                            <div class="text-danger">{{ $message }}</div>
                                        @enderror
                                    </div>
                                </div>
                            </div>
                        </div>


                        <div>&nbsp;</div>
                        <div>

                            <div class="contact-form">
                                <div class="row">

                                    <div class="col-md-12">
                                        <button type="submit" class="btn-default">Obtenir mon devis et / ou souscrire en ligne</button>
                                        <div id="msgSubmit" class="h3 hidden"></div>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </form>
                </div>




            </div>
        </div>
    </div>
@endsection