<?php $__env->startSection('title', 'FFMS'); ?>

<?php $__env->startSection('content'); ?>
  <div class="row">
      <div class="col-12">
          <div class="card">
              <div class="card-primary">
                  <div class="card-header">
                    <table width="100%">
                      <tr>
                        <td><h3 class="card-title" style="color: blue;"><b> Subscription </b></h3></td>
                        <td><h4 class="card-title" style="color: green; text-align: right;"><b> 
                          <?php if(isset($paymentlinks)): ?>
                              <?php echo e($paymentlinks->display_name); ?> / <?php echo e($paymentlinks->frequency); ?> 
                          <?php else: ?>
                            <h4 class="card-title" style="color: green; text-align: right;"><b> No Payment Links Associated with the selected Plan</b></h4>
                          <?php endif; ?>
                        </b></h4></td>
                      </tr>
                    </table>
                  </div>
                  <!-- /.card-header -->
                  <!-- form start -->
                  <form class="form-horizontal" action="<?php echo e(URL::to('/subscription_post')); ?>" method="post" autocomplete="off" enctype="multipart/form-data">
                      <?php echo csrf_field(); ?>

                      <div class="card-body">
                          <div class="col-12">
                              <div class="form-group row">
                                <div class="col-6">
                                  <label class="control-label" for="name">Office Name<span style="color: red;">*</span></label>
                                  <input id="officename" name="officename" type="text" placeholder="Enter the office name" class="form-control" maxlength="100">
                                </div>
                                <div class="col-6">
                                    <label for="">Name</label>
                                    <input type="text" class="form-control" id="user_name" name="user_name" placeholder="Enter User Name" required>
                                    <input type="hidden" name="slugname" id="slugname" value="<?php echo e($slugname); ?>">
                                    <input type="hidden" name="frequency" id="frequency" value="<?php echo e($frequency); ?>">
                                </div>
                              </div>
                              <div class="form-group row">
                                  <div class="col-6">
                                      <label for="">User Email Address</label>
                                      <input type="text" class="form-control" id="email_address" name="email_address" placeholder="Enter User Email Address" required>
                                  </div>
                                  <div class="col-6">
                                      <label for="">Password</label>
                                      <input type="password" class="form-control" id="password" name="password" placeholder="Enter Passwords" required>
                                  </div>
                              </div>
                              <div class="form-group row">
                                  <div class="col-6">
                                      <label for="">Address</label>
                                      <input type="text" class="form-control" id="address_line1" name="address_line1" placeholder="Enter Address">
                                  </div>
                                  <div class="col-6">
                                      <label for="">Country</label>
                                      <select name="address_country" id="address_country" class="form-control">
                                        <option value=""> Select Country </option>
                                        <?php $__currentLoopData = $countries; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $country): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
                                          <option value="<?php echo e($country->country_code); ?>"><?php echo e($country->country_name); ?> (<?php echo e($country->country_code); ?>)</option>
                                        <?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
                                      </select>
                                  </div>
                              </div>
                          </div>
                      </div>
                      <!-- /.card-body -->
                      <div class="card-footer">
                        <?php if(isset($paymentlinks)): ?>
                          <?php if($paymentlinks->payment_link): ?>
                            <button type="submit" class="btn btn-primary">Submit</button>
                          <?php endif; ?>
                        <?php endif; ?>
                      </div>
                  </form>     
              </div>
          </div>
      </div>
  </div>
<?php $__env->stopSection(); ?>
<?php echo $__env->make('layouts.subscriptionheader', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>