@extends('eform.layout.app') @section('styles') @endsection @section('content') {!! Form::open(['method'=>'POST','action' => 'EFormController@submit']) !!}
800.755.2434
Fax - 903.686.2216
www.gourmetgardens.com
| Bill To* | {!! Form::text('bill_to', null, ['class'=>'form-control form-control-sm']) !!} |
|---|---|
| Address* | {!! Form::text('bill_address', null, ['class'=>'form-control form-control-sm']) !!} |
| City* | {!! Form::text('bill_city', null, ['class'=>'form-control form-control-sm']) !!} |
| State* | {!! Form::select('bill_state',$stateForm, null, ['class'=>'form-control form-control-sm','placeholder'=>'Select State']) !!} |
| Zip* | {!! Form::number('bill_zip', null, ['class'=>'form-control form-control-sm']) !!} |
| Phone* | {!! Form::text('phone', null, ['class'=>'form-control form-control-sm']) !!} |
| Email* | {!! Form::email('email', null, ['class'=>'form-control form-control-sm']) !!} |
| Representative | {!! Form::text('representative', null, ['class'=>'form-control form-control-sm']) !!} |
| Payment Method* | {!! Form::text('payment_method', null, ['class'=>'form-control form-control-sm']) !!} |
| Ship To* | {!! Form::text('ship_to', null, ['class'=>'form-control form-control-sm']) !!} |
|---|---|
| Address* | {!! Form::text('ship_address', null, ['class'=>'form-control form-control-sm']) !!} |
| City* | {!! Form::text('ship_city', null, ['class'=>'form-control form-control-sm']) !!} |
| State* | {!! Form::select('ship_state', $stateForm,null, ['v-model'=>'ship_state','@change'=>'changePrice','class'=>'form-control form-control-sm','placeholder'=>'Select State']) !!} |
| Zip* | {!! Form::number('ship_zip', null, ['class'=>'form-control form-control-sm']) !!} |
| Contact Name* | {!! Form::text('name', null, ['class'=>'form-control form-control-sm']) !!} |
| Label Description* | {!! Form::text('label', null, ['class'=>'form-control form-control-sm']) !!} |
| Bar code* | {!! Form::select('barcode', ['Yes'=>'Yes', 'No'=>'No'], null, ['class'=>'form-control form-control-sm','placeholder'=>'Select']) !!} |
| {{$category->name}} | ||||
|---|---|---|---|---|
| Qty | SKU | Description | Price | Total |
| {!! Form::text('cart['.$product->id.'][qty]', null,['v-model'=>'selected.inputNumber'.$product->id,'class'=>'inputNumber form-control form-control-sm mx-auto']) !!} | {{$product->sku}} | {{$product->name}} | $ {!! Form::text('cart['.$product->id.'][price]', null,['v-model'=>'selected.inputPrice'.$product->id,'class'=>'inputNumber price','readonly']) !!} | $ {!! Form::text('cart['.$product->id.'][total]', null,['v-model'=>'inputSubtotal'.$product->id,'class'=>'inputNumber price','readonly']) !!} |
| Total | $ {!! Form::text('subtotal', null,['v-model'=>'inputTotal'.$category->id,'class'=>'inputNumber price','disabled']) !!} | |||
50% Shipping Discount on 10-29 cases Full Freight Charged on 1-9 cases