@extends('layout.app')
@section('content')

    <section class="section_1">
        <div class="container">
            <div class="row">
                <div class="col-md-12">
                    <div class="merchant_banner">
                    </div>
                </div>
            </div>
            <div class="row">
                <div class="col-md-12 mt-3 text-center">
                    <h1 class="green_hed"> Store Information</h1>
                    <p class="text-center merchant_reg_title">Dear User, Please Enter Your Information Carefully To Protect You And Protect
                        Your Customers.</p>
                </div>
            </div>

            <div class="row">
                <div class="col-md-12 mt-3 ">
                    <form action="">
                        <div class="row">
                            <div class="col-md-12 text-center">
                                <label for="inpit_file" class="label_input_file">
                                    <img src="assets/images/solar_87.png" class="preview_img">
                                    <input type="file" class="input_file_h" id="inpit_file">
                                </label>
                            </div>
                        </div>






                        <div class="row">
                            <div class="col-md-6">
                                <div class="custom_form">
                                    <label for="name">Company Name <small>(As Registered in the Company Registry)</small></label>
                                    <input type="text" id="name" name="name" placeholder="Enter Store Name" required>
                                </div>
                            </div>



                            <div class="col-md-6">
                                <div class="custom_form">
                                    <label for="address">Company Address <small>(Street Name, Building Name, P.O Box)</small></label>
                                    <input type="text" id="address" name="address" placeholder="Enter Store Address" required>
                                </div>
                            </div>


                        </div>





                        <div class="row">
                            <div class="col-md-6">
                                <div class="custom_form">
                                    <label for="governate">Governate</label>
                                    <select name="governate" id="governate" required>
                                        <option value="">Choose Governate</option>
                                    </select>
                                </div>
                            </div>


                            <div class="col-md-6">
                                <div class="custom_form">
                                    <label for="email">Primary Email</label>
                                    <input type="email" id="email" name="email"
                                           placeholder="emailadress@emaildomain.com" required>
                                </div>
                            </div>
                        </div>




                        <div class="row">
                            <div class="col-md-6">
                                <div class="custom_form">
                                    <label for="mobile">Company Phone Number</label>
                                    <div class="mobile_and_country_code_div">
                                        <select data-placeholder="+962"
                                                class="form-control select-icons-not-nodal country_code" data-fouc
                                                id="country_code" name="country_code">
                                            <option value="+646" data-icon="assets/images/solar_5.png"> +962 </option>
                                        </select>
                                        <input type="text" id="mobile" name="mobile" class="mobile"
                                               placeholder="Enter Number" required>
                                    </div>



                                </div>
                            </div>


                            <div class="col-md-6">
                                <div class="custom_form">
                                    <label for="email">Contact Email</label>
                                    <input type="email" id="email" name="email"
                                           placeholder="emailadress@emaildomain.com" required>
                                </div>
                            </div>

                        </div>








                        <div class="row">
                            <div class="col-md-6">
                                <div class="custom_form">
                                    <label for="password">Password</label>
                                    <div class="div_password">
                                        <input type="password" id="password" name="password" placeholder="Enter Password"
                                               required>
                                        <i class="far fa-eye  eye_icon"></i>
                                    </div>
                                </div>
                            </div>







                            <div class="col-md-6">
                                <div class="custom_form">
                                    <label for="password_Confirmition">Confirm Password</label>
                                    <div class="div_password">
                                        <input type="password" id="password_Confirmition" name="password_Confirmition"
                                               placeholder="Enter Password" required>
                                        <i class="far fa-eye  eye_icon"></i>
                                    </div>

                                </div>
                            </div>
                        </div>




                        <div class="row">
                            <div class="col-md-12 text-center">
                                <button class="solar_button" type="submit"
                                        onclick="$('#verification_modal').modal('toggle')"
                                > Create Merchant Account</button>
                                <p class="you_have_an_account">You Have an Account? <a href="javasctipt:void(0)" class="underline">Sign In to Merchant Portal</a></p>
                            </div>
                        </div>



















                    </form>

                </div>
            </div>

        </div>
</section>
@include('components.modals.verification_modal')
@include('components.modals.verification_completed')




@endsection