@extends('_layout.sessions')

@section('title')Contact Us
@endsection

@section('content')

{{ Form::open(['route' => 'postContactTicket', 'method' => 'post', 'class' => 'forget-form' ,'style' => 'display: block;']) }}
  <h3 class="form-title font-green">Contact Us</h3>

  <div class="form-group">
      {!! Form::select('type',\App\HelpRequest::$types,$selectedType, ['class' => 'form-control', 'required' => 'required']) !!}
  </div>
  
  <div class="form-group">
      {!! Form::textarea('message',null, ['class' => 'form-control','placeholder' => 'Message', 'required' => 'required' , 'rows' => 3]) !!}
  </div>
  <div class="form-group">
      {!! Form::email('email',null, ['class' => 'form-control','placeholder' => 'Email', 'required' => 'required']) !!}
  </div>
  <div class="form-group">
    {!! Form::text('firstname', null, ['placeholder' =>'First name', 'class' => 'form-control', 'required' => 'required']) !!}
  </div>
  <div class="form-group">
    {!! Form::text('lastname', null, ['placeholder' =>'Last name', 'class' => 'form-control', 'required' => 'required']) !!}
  </div>
  <div class="form-group">
    {!! Form::text('phone', null, ['placeholder' =>'Phone', 'class' => 'form-control', 'required' => 'required']) !!}
  </div>
  <div class="form-group">
    {!! Form::text('company', null, ['placeholder' =>'Company', 'class' => 'form-control']) !!}
  </div>


  <div class="form-actions">
    <button type="submit" class="btn btn-success uppercase pull-right">Submit</button>
  </div>
{{ Form::close() }}

@endsection