Your IP : 216.73.216.84
<?php
$view = JFactory::getApplication()->input->get('view');
if ($view != 'billingdetails') {
$this->item = $this->guestDetails;
}
$user = JBusinessUtil::getUser();
?>
<div class="form-box">
<div class="row">
<div class="col-md">
<div class="form-group">
<label for="first_name"><?php echo JText::_('LNG_FIRST_NAME') ?> </label>
<input type="text" name="first_name" id="first_name" class="form-control input_txt validate[required]" value="<?php echo $this->item->first_name ?>" maxlength="45">
</div>
</div>
<div class="col-md">
<div class="form-group">
<div class="form-detail req"></div>
<label for="last_name"><?php echo JText::_('LNG_LAST_NAME') ?> </label>
<input type="text" name="last_name" id="last_name" class="form-control input_txt validate[required]" value="<?php echo $this->item->last_name ?>" maxlength="45">
</div>
</div>
</div>
<div class="row">
<div class="col-md">
<div class="form-group">
<label for="email"><?php echo JText::_('LNG_EMAIL') ?> </label>
<input type="text" name="email" id="email" class="form-control input_txt validate[required,custom[email]]" value="<?php echo $this->item->email ?>" maxlength="45">
</div>
</div>
<div class="col-md">
<div class="form-group">
<label for="phone"><?php echo JText::_('LNG_PHONE') ?> </label>
<input type="text" name="phone" id="phone" class="form-control input_txt" value="<?php echo $this->item->phone ?>" maxlength="45">
</div>
</div>
</div>
<?php if ($view == 'billingdetails') { ?>
<div class="row company-name-billing">
<div class="col">
<div class="form-group">
<label for="company_name"><?php echo JText::_('LNG_COMPANY_NAME') ?> </label>
<input type="text" name="company_name" id="company_name" class="form-control input_txt" value="<?php echo $this->item->company_name ?>" maxlength="55">
</div>
</div>
</div>
<div class="row vat-details">
<div class="col">
<div class="form-group">
<label for="vat-details"><?php echo JText::_('LNG_VAT_DETAILS') ?> <i class="la la-info-circle" title="<?php echo JText::_('LNG_VAT_DETAILS_INFO') ?> "></i></label>
<textarea name="vat_details" id="vat-details" class="form-control input_txt" maxlength="455"><?php echo !empty($this->item->vat_details) ? $this->item->vat_details : "" ?></textarea>
</div>
</div>
</div>
<?php } ?>
<div class="form-divider"></div>
<div class="row">
<div class="col">
<div class="form-group">
<label for="address"><?php echo JText::_('LNG_ADDRESS_LINE_1') ?> </label>
<input type="text" name="address" id="route" class="form-control input_txt" value="<?php echo $this->item->address ?>" maxlength="55">
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="form-group">
<label for="street_number"><?php echo JText::_('LNG_ADDRESS_LINE_2') ?></label>
<input type="text" name="street_number" id="street_number" class="form-control text-input" value="<?php echo !empty($this->item->street_number) ? $this->item->street_number : "" ?>" maxlength="100" placeholder="<?php echo JText::_('LNG_ADDRESS2_PLACEHOLDER') ?>">
</div>
</div>
</div>
<?php if ($this->appSettings->limit_cities_regions != 1) { ?>
<div class="row">
<div class="col-md">
<div class="form-group">
<label for="city"><?php echo JText::_('LNG_CITY') ?> </label>
<input type="text" name="city" id="locality" class="form-control input_txt" value="<?php echo $this->item->city ?>" maxlength="45">
</div>
</div>
<div class="col-md">
<div class="form-group">
<label for="postal_code"><?php echo JText::_('LNG_POSTAL_CODE') ?> </label>
<input type="text" name="postal_code" id="postal_code" class="form-control input_txt" value="<?php echo $this->item->postal_code ?>" maxlength="45">
</div>
</div>
</div>
<div class="row">
<div class="col-md">
<div class="form-group">
<label for="region"><?php echo JText::_('LNG_REGION') ?> </label>
<input type="text" name="region" id="administrative_area_level_1" class="form-control input_txt" value="<?php echo $this->item->region ?>" maxlength="45">
</div>
</div>
<div class="col">
<div class="form-group">
<label for="country"><?php echo JText::_('LNG_COUNTRY') ?></label>
<select class="form-control" name="country" id="country" <?php echo $this->appSettings->limit_cities_regions ? 'onclick="jbdUtils.updateRegionsByCountry()"' : ''; ?>>
<option value=''><?php echo JText::_('LNG_SELECT_COUNTRY') ?></option>
<?php foreach ($this->item->countries as $country) { ?>
<option <?php echo isset($this->item->country->id) && $this->item->country->id == $country->id ? "selected" : "" ?> value='<?php echo $country->id ?>'><?php echo $country->country_name ?></option>
<?php } ?>
</select>
</div>
</div>
</div>
<?php } else { ?>
<div class="row">
<div class="col">
<div class="form-group">
<label for="country"><?php echo JText::_('LNG_COUNTRY') ?></label>
<select class="form-control" name="country" id="country" <?php echo $this->appSettings->limit_cities_regions ? 'onclick="jbdUtils.updateRegionsByCountry()"' : ''; ?>>
<option value=''><?php echo JText::_('LNG_SELECT_COUNTRY') ?></option>
<?php foreach ($this->item->countries as $country) { ?>
<option <?php echo isset($this->item->country->id) && $this->item->country->id == $country->id ? "selected" : "" ?> value='<?php echo $country->id ?>'><?php echo $country->country_name ?></option>
<?php } ?>
</select>
</div>
</div>
<div class="col-md">
<div class="form-group">
<label for="region"><?php echo JText::_('LNG_REGION') ?> </label>
<?php if ($this->appSettings->limit_cities_regions != 1) { ?>
<input type="text" name="region" id="administrative_area_level_1" class="form-control input_txt" value="<?php echo $this->item->region ?>" maxlength="45">
<?php } else { ?>
<select name="region" id="administrative_area_level_1" class="form-control" onchange="jbdUtils.updateCitiesByRegion()">
<option value=""><?php echo JText::_('LNG_SELECT_REGION') ?></option>
<?php foreach ($this->item->regions as $region) { ?>
<option value="<?php echo $region->name ?>" <?php echo $this->item->region == $region->name ? "selected" : "" ?>><?php echo $region->name ?></option>
<?php } ?>
</select>
<?php } ?>
</div>
</div>
</div>
<div class="row">
<div class="col-md">
<div class="form-group">
<label for="city"><?php echo JText::_('LNG_CITY') ?> </label>
<?php if ($this->appSettings->limit_cities_regions != 1) { ?>
<input type="text" name="city" id="locality" class="form-control input_txt" value="<?php echo $this->item->city ?>" maxlength="45">
<?php } else { ?>
<select name="city" id="locality" class="form-control">
<option value=""><?php echo JText::_('LNG_SELECT_CITY') ?></option>
<?php foreach ($this->item->cities as $city) { ?>
<option value="<?php echo $city->name ?>" <?php echo $this->item->city == $city->name ? "selected" : "" ?>><?php echo $city->name ?></option>
<?php } ?>
</select>
<?php } ?>
</div>
</div>
<div class="col-md">
<div class="form-group">
<label for="postal_code"><?php echo JText::_('LNG_POSTAL_CODE') ?> </label>
<input type="text" name="postal_code" id="postal_code" class="form-control input_txt" value="<?php echo $this->item->postal_code ?>" maxlength="45">
</div>
</div>
</div>
<?php } ?>
<?php if (empty($user->id)) { ?>
<div class="row">
<div class="col-md">
<?php echo JBusinessUtil::renderTermsAndConditions(); ?>
</div>
</div>
<?php } ?>
</div>
<input type="hidden" name="id" id="details_id" value="<?php echo !empty($this->item->id) ? $this->item->id : ""; ?>" />
<script>
window.addEventListener('load', function() {
<?php if ($this->appSettings->limit_cities_regions == 1) { ?>
jbdUtils.updateRegionsByCountry();
jbdUtils.updateCitiesByRegion();
<?php } ?>
})
</script>