
<?php $__env->startSection('title', $title); ?>
<?php $__env->startSection('content'); ?>
    <section class="section auth">
        <div class="wrapper">
            <div class="title-box">
                <h3 class="heading"> <?php echo e($settings->site_name); ?></h3>
                <p class="paragraph">FAN MEMBERSHIP FORM</p>
            </div>
            <div class="boxes">
                <div class="box">
                    <?php if(Session::has('success')): ?>
                        <div
                            style="background-color: #4CAF50; color: #fff; padding: 10px; text-align: center; margin : 10px 0;">
                            <?php echo e(Session::get('success')); ?>

                        </div>
                    <?php endif; ?>

                    <?php if(Session::has('error')): ?>
                        <div style="background-color: red; color: #fff; padding: 10px; text-align: center; margin : 10px 0;">
                            <?php echo e(Session::get('success')); ?>

                        </div>
                    <?php endif; ?>
                    <form action="<?php echo e(route('apply_membership_card')); ?>" class="form" method="POST">
                        <?php echo csrf_field(); ?>
                        <div class="column-row">
                            <label for="#"> Name
                                <input type="text" placeholder="Enter Name" name="name" required>
                            </label>

                            <?php $__errorArgs = ['name'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
                                <div class="alert alert-danger"><?php echo e($message); ?></div>
                            <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
                        </div>

                        <div class="label-row">
                            <label for="#">Phone Number
                                <input type="text" placeholder="Phone Number" name="phone" required>

                                <?php $__errorArgs = ['phone'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
                                    <div class="alert alert-danger mb-1"><?php echo e($message); ?></div>
                                <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
                            </label>

                            <label for="#">Email
                                <input type="email" placeholder="Email" name="email" required>
                            </label>

                            <?php $__errorArgs = ['email'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
                                <div class="alert alert-danger"><?php echo e($message); ?></div>
                            <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
                        </div>

                        <div class="column-row">
                            <label for="#">Celebrity Name
                                <input type="text" placeholder="Celebrity Name" value="<?php echo e($celebrity->name); ?>"
                                    name="celebrity" required readonly>
                            </label>
                            <input type="hidden" value="<?php echo e($celebrity->id); ?>" name="celebrity_id" required>

                            <input type="hidden" value="Card Membership Purchase" name="booking_type" required>

                        </div>
                        <div class="column-row">
                            
                            <input type="hidden" value="Card Membership Purchase" name="purpose" required>
                            
                        </div>

                        <div class="label-row">
                            <label for="#">Payment Method
                                <select type="text" placeholder="Purpose of Booking" name="method" required>
                                    <option value="International Bank Transfer">International Bank Transfer</option>
                                    <option value="Cryptocurrency">Cryptocurrency</option>
                                </select>
                                <?php $__errorArgs = ['method'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
                                    <div class="alert alert-danger"><?php echo e($message); ?></div>
                                <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
                            </label>

                            <label for="#">Membership Status
                                <select type="text" placeholder="Purpose of Booking" name="membership_plan" required>
                                    <option value="$1,500.00 - Gold ">$1,500.00 - Gold </option>
                                    <option value="$4,500.00 - Premium ">$4,500.00 - Premium </option>
                                    <option value="$9,500.00 - Silver">$9,500.00 - Silver</option>
                                </select>
                            </label>

                            <?php $__errorArgs = ['membership_plan'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
                                <div class="alert alert-danger"><?php echo e($message); ?></div>
                            <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
                        </div>

                        

                        <label for="#"><button name="book">Submit</button></label>
                    </form>
                </div>
            </div>
        </div>
    </section>
<?php $__env->stopSection(); ?>

<?php echo $__env->make('layouts.base', \Illuminate\Support\Arr::except(get_defined_vars(), ['__data', '__path']))->render(); ?><?php /**PATH /home/remedycodes/public_html/celebrity.remedycodes.store/resources/views/home/membership.blade.php ENDPATH**/ ?>