@section('content')
    <section id="quick-quote-wrapper">
        <div class="container fullwidth">
            <div class="col-lg-8 col-lg-offset-2 col-md-8 col-md-offset-2">

                <div class="home-section-title">
                    <h2>Car Insurance Calculator</h2>

                    <div class="description">
                        <p>Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut
                            labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco
                            laboris nisi ut aliquip ex ea commodo consequat.</p>
                    </div>
                </div>

            </div>
            <div class="col-lg-8 col-lg-offset-2 col-md-8 col-md-offset-2">

                <!-- quick-quote -->
            <div id="quick-quote-motor">
				<div class="quick-quote-inner">

                	<!-- quick-quote-form -->
                    <div class="quick-quote-form">
                            <form class="ffq-form" id="ffq-frm" name="ffq-frm" action="{{route('submit-quote')}}" method="get">
                            {{ csrf_field() }}
                            <div class="form-field-wrapper">


                                        <!-- form-group -->
                                        <div class="row form-group">
                                            <div class="col-lg-12 col-md-12 form-element-gap">
                                                <div class="ff-label"><label>Vehicle Type</label></div>

                                                <div class="vehicle-type-wrapper">
                                                	@foreach ($data['vehicle_type'] as $key => $type)
                                                        @if($type['is_active'] == 1)
                                                            <div class="vehiclecheckbox-field">
                                                            <input id="vehicle_type{{$type['id']}}" name="vehicle_type" type="radio" value="{{$type['id']}}" {{ old('vehicle_type') == $type['id']? 'checked' : '' }}>
                                                            <label for="vehicle_type{{$type['id']}}" title="{{$type['vehicle_type']}}"></label>
                                                            </div>
                                                        @endif
                                                    @endforeach
                                                     @if ($errors->has('vehicle_type'))
                                                        <span class="help-block">
                                                    	<strong>{{ $errors->first('vehicle_type') }}</strong>
                                                    </span>
                                    				@endif
                                                </div>

                                            </div>
                                        </div>
                                        <!-- form-group -->



                                		<!-- form-group -->
                                        <div class="row form-group">
                                            <div class="col-lg-6 col-md-6 form-element-gap">
                                                <div class="ff-label"><label>Make</label></div>
                                                <select name="vehicle_make" id="vehicle_make" class="input-lg select2dropdown1" >
                                                    <option value="">Select</option>
                                                        @foreach ($data['make'] as $make)
                                                            <option value="{{$make['id']}}" {{ old('vehicle_make') == $make['id']? 'selected' : '' }}>{{$make['make']}}</option>
                                                        @endforeach
                                                        @if ($errors->has('vehicle_make'))
                                                            <span class="help-block">
                                                        <strong>{{ $errors->first('vehicle_make') }}</strong>
                                                    </span>
                                                        @endif
                                                </select>
                                            </div>

                                            <div class="col-lg-6 col-md-6">
                                                <div class="ff-label"><label id="vehicle-reg-no-label">&nbsp;</label></div>
                                                <select name="vehicle_model" id="vehicle_model"
                                                        data-models="{{ json_encode($data['model']) }}"  class="input-lg select2dropdown1" >
                                                    <option value="">Select</option>
                                                </select>
                                                @if ($errors->has('vehicle_model'))
                                                <span class="help-block">
                                                    <strong>{{ $errors->first('vehicle_model') }}</strong>
                                                </span>
                                            	@endif
                                            </div>

                                        </div>
                                        <!-- form-group -->



                                       <!-- form-group -->
                                        <div class="row form-group">
                                            <div class="col-lg-6 col-md-6 form-element-gap">
                                                <div class="ff-label"><label>Year of Manufacture</label></div>
                                                <select name="vehicle_yom" id="vehicle_yom"
                                                        data-model_years="{{ json_encode($data['model_year']) }}"
                                                        class="input-lg select2dropdown1">
                                                    {{--<option value="">Select</option>--}}
                                                </select>
                                                @if ($errors->has('vehicle_yom'))
                                                    <span class="help-block">
                                                <strong>{{ $errors->first('vehicle_yom') }}</strong>
                                            	</span>
                                                 @endif
                                            </div>

                                            <div class="col-lg-6 col-md-6">
                                                <div class="ff-label"><label>Fuel Type</label></div>
                                                <select name="fuel_type" id="fuel_type" class="input-lg select2dropdown1"
                                                        data-model_fuel_types="{{ json_encode($data['fuel_type_base']) }}">
                                                    {{--<option value="">Select</option>--}}
                                                    {{--@foreach ($data['fuel_type'] as $key => $type)
                                                        <option value="{{$type['code']}}">{{$type['type']}}</option>
                                                    @endforeach--}}
                                                    @if ($errors->has('fuel_type'))
                                                        <span class="help-block">
                                                    <strong>{{ $errors->first('fuel_type') }}</strong>
                                                </span>
                                                    @endif
                                                </select>
                                                <input type="hidden" id="fuel_type_hidden" name="fuel_type_hidden" value="{{ old('fuel_type_hidden') }}"/>
                                            </div>

                                        </div>
                                        <!-- form-group -->



                                        <!-- form-group -->
                                        <div class="row form-group">
                                            <div class="col-lg-12 col-md-12">
                                                <div class="ff-label"><label>Sum Insured</label></div>
                                                <input name="insured_value" id="insured_value" value="{{ old('insured_value') }}" type="text" class="input-lg numericInput" placeholder="Enter Sum Insured">
                                                    @if ($errors->has('insured_value'))
                                                        <span class="help-block">
                                                    <strong>{{ $errors->first('insured_value') }}</strong>
                                                </span>
                                                    @endif
                                            </div>
                                        </div>
                                        <!-- form-group -->


                                        <!-- form-group -->
                                        <div class="row form-group">
                                            <div class="col-lg-12 col-md-12">
                                                <div class="ff-label"><label>Promo Code</label></div>
                                                <input type="text" name="promo_code" id="promo_code"
                                                           value="@if($data['promo_code'] != ''){{ $data['promo_code'] }} @else{{ old('promo_code') }} @endif" class="input-lg" placeholder="Enter Promo Code">
                                                    @if ($errors->has('promo_code'))
                                                        <span class="help-block">
                                                    <strong>{{ $errors->first('promo_code') }}</strong>
                                                </span>
                                                    @endif
                                            </div>

                                            {{--<div class="col-lg-6 col-md-6">
                                                <div class="ff-label"><label>Agent Code</label></div>
                                                <input type="text" name="agent_code" id="agent_code" class="input-lg" placeholder="Enter Agent Code">
                                                    @if ($errors->has('agent_code'))
                                                        <span class="help-block">
                                                    <strong>{{ $errors->first('agent_code') }}</strong>
                                                </span>
                                                    @endif
                                            </div>--}}
                                        </div>
                                        <!-- form-group -->

                                        <!-- form-group -->
                                        <div class="row form-group">
                                            <div class="col-lg-12 col-md-12 btn-holder">
                                                
                                                <input type="hidden" name="insurance_types" id="insurance_type" value="MT">
                                                <input type="hidden" name="vehicle_type" id="vehicle_type2" value="2">
                                                <input type="hidden" name="vehicle_make" id="vehicle_make2" value="16">
                                                <input type="hidden" name="vehicle_model" id="vehicle_model2" value="6482">
                                                <input type="hidden" name="vehicle_yom" id="vehicle_yom2" value="2012">
                                                <input type="hidden" name="fuel_type" id="fuel_type2" value="MPCP">
                                                <input type="hidden" name="insured_value" id="insured_value2" value="900000">

                                                {{--<input type="hidden" name="vehicle_type" id="vehicle_type" value="1">
                                                <input type="hidden" name="vehicle_make" id="vehicle_make" value="2">
                                                <input type="hidden" name="vehicle_model" id="vehicle_model" value="32">
                                                <input type="hidden" name="vehicle_yom" id="vehicle_yom" value="2005">
                                                <input type="hidden" name="fuel_type" id="fuel_type" value="1">
                                                <input type="hidden" id="fuel_type_hidden" name="fuel_type_hidden" value="Petrol">
                                                <input type="hidden" id="insured_value" name="insured_value" value="2500000">--}}

                                                {{--<input type="hidden" name="pet_name"  value="name">
                                                <input type="hidden" name="pet_dob" value="2018-01-01">
                                                <input type="hidden" name="pet_category" value="dog">
                                                <input type="hidden" name="pet_breed" value="Breed">
                                                <input type="hidden" name="pet_gender" value="Gender">
                                                <input type="hidden" name="insurance_types" id="insurance_type" value="PT">--}}

                                                {{--<input type="hidden" name="insurance_types" id="insurance_type" value="LS">
                                                <input type="hidden" name="pa_name"  value="name">
                                                <input type="hidden" name="pa_age"  value="35">
                                                <input type="hidden" name="pa_phone"  value="0718068183">
                                                <input type="hidden" name="pa_occupation"  value="SE">
                                                <input type="checkbox" name="pa_extensions[]" value="45" checked>Type 1
                                                <input type="checkbox" name="pa_extensions[]" value="46">Type 2
                                                <input type="checkbox" name="pa_extensions[]" value="47" checked>Type 3
                                                <input type="checkbox" name="pa_extensions[]" value="48" checked>Type 4
                                                <input type="checkbox" name="pa_extensions[]" value="49" checked>Type 5
                                                <input type="checkbox" name="pa_extensions[]" value="50" checked>Type 6
                                                <input type="checkbox" name="pa_extensions[]" value="51" checked>Type 6--}}

                                                {{--
                                                <input type="hidden" name="insurance_types" id="insurance_type" value="TR">
                                                <input type="hidden" name="cover_type"  value="I">
                                                <input type="hidden" name="geo_area"  value="WEUAC">
                                                <input type="hidden" name="policy_holder_dob" value="1984-06-27">
                                                <input type="hidden" name="departure_date" value="2019-08-10">
                                                <input type="hidden" name="return_date" value="2019-08-20">
                                                <input type="hidden" name="traveller_age_0" value="1986-11-22">
                                                <input type="hidden" name="traveller_age_1" value="2014-05-01">
                                                <input type="hidden" name="traveller_count" value="2">
                                                <input type="hidden" name="age16To60Count" value="1">
                                                --}}

                                                {{--
                                                <input type="hidden" name="insurance_types" id="insurance_type" value="IT">
                                                <input type="hidden" name="cover_type"  value="F">
                                                <input type="hidden" name="policy_holder_dob" value="1984-06-27">
                                                <input type="hidden" name="departure_date" value="2019-12-28">
                                                <input type="hidden" name="return_date" value="2019-12-30">
                                                <input type="hidden" name="traveller_age_0" value="1986-11-22">
                                                <input type="hidden" name="traveller_age_1" value="2014-05-01">
                                                <input type="hidden" name="traveller_count" value="2">
                                                <input type="hidden" name="policy_type"  value="CUST">
                                                --}}

                                                {{--
                                                <input type="hidden" name="insurance_types" id="insurance_type" value="MB">
                                                <input type="hidden" name="phone_make" id="phone_make" value="1">
                                                <input type="hidden" name="phone_model" id="phone_model" value="3">
                                                --}}

                                                <input type="hidden" name="policy_mode" id="policy_mode" value="annual">
                                                <input type="radio" name="subscription" value="yearly" checked>Yearly
                                                <input type="radio" name="subscription" value="monthly">Monthly
                                                <input type="radio" name="subscription" value="quarterly">Quarterly
                                                <input type="radio" name="subscription" value="half-yearly">Half Yearly
                                                <input type="hidden" name="policy_mode" id="policy_mode" value="annual">
                                                <input type="hidden" name="days" id="days" value="10">
                                    			<input type="hidden" name="is_quick_quote" id="insurance_type" value="q">
                                                <input type="submit" id="btn_get_quote" value="Get Quote" class="btn btn-get-quote" />
                                            </div>
                                        </div>
                                        <!-- form-group -->

                            </div>

                        </form>
                    </div>
                    <!-- /quick-quote-form -->

                    <!-- quick-quote-details -->
                    <div class="quick-quote-details">
                          <div>
                          	<h3>Car insurance<br>made easy</h3>
                            <div class="description">
                          		<p>Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. </p>
                            </div>
                            <ul>
                            	<li>Sed venenatis orci et pulvinar euismod.</li>
                                <li>Sed auctor lorem a fringilla tincidunt.</li>
                                <li>Donec congue tortor et orci aliquet luctus.</li>
                                <li>Donec id est facilisis dolor fermentum laoreet non sit amet dolor.</li>
                            </ul>
                          </div>
                    </div>
                	<!-- /quick-quote-details -->

                </div>
            </div>
            <!-- /quick-quote -->


            </div>

            {{--<img src="{{asset('/images/fairfirst/store/aaa.jpg')}}"
                 alt=""/>--}}
        </div>
        <!-- container -->
    </section>
@endsection