@@include('./parts/head.html', { "plugin_fa_icons": true, "plugin_mdi_icons": true, "plugin_ion_icons": true, "plugin_wi_icons": true, "plugin_rickshaw": false, "plugin_nvd3": false, "plugin_flot": false, "plugin_sparkline": false, "plugin_markitup": false, "plugin_ckeditor": false, "plugin_select2": false, "plugin_dropzone": false, "plugin_tagsinput": false, "plugin_clockpicker": false, "plugin_pikaday": false, "plugin_spectrum": false, "plugin_inputmask": false, "plugin_parsley": false, "plugin_gmaps": false, "plugin_jvectormap": false, "plugin_datatables": false, "plugin_fullcalendar": false, "plugin_simpleweather": false, "plugin_prettify": true })
@@include('./parts/top-navbar.html') @@include('./parts/sidebar.html', { "page": "forms-checkout", "classes": "yay-shrink yay-hide-to-small yay-gestures" })<form action="#!"> <div class="row"> <div class="col m6 s12"> <div class="input-field"> <i class="fa fa-user prefix"></i> <input id="input_fname" type="text" name="first_name"> <label for="input_fname">First Name</label> </div> </div> <div class="col m6 s12"> <div class="input-field"> <i class="fa fa-user prefix"></i> <input id="input_lname" type="email" name="last_name"> <label for="input_lname">Last Name</label> </div> </div> </div> <div class="row"> <div class="col m6 s12"> <div class="input-field"> <i class="fa fa-envelope prefix"></i> <input id="input_email" type="email" name="email"> <label for="input_email">Email</label> </div> </div> <div class="col m6 s12"> <div class="input-field"> <i class="fa fa-phone prefix"></i> <input id="input_phone" type="tel" name="phone"> <label for="input_phone">Phone</label> </div> </div> </div> <hr> <div class="row"> <div class="col m5 s12"> <label>Country</label> <select class="browser-default" name="country"> <option value="0" selected disabled>Country</option> <option value="244">Aaland Islands</option> <option value="1">Afghanistan</option> <option value="2">Albania</option> ... </select> </div> <div class="col m4 s12"> <div class="input-field"> <input id="input_city" type="text" name="city"> <label for="input_city">City</label> </div> </div> <div class="col m3 s12"> <div class="input-field"> <input id="input_postcode" type="text" name="post_code"> <label for="input_postcode">Post code</label> </div> </div> </div> <div class="input-field"> <input id="input_address" type="text" name="address"> <label for="input_address">Address</label> </div> <div class="input-field"> <textarea id="textarea_additional" class="materialize-textarea" name="additional"></textarea> <label for="textarea_additional">Additional info</label> </div> <hr> <p> <input name="pay-type" type="radio" id="visa" checked /> <label for="visa">Visa</label> <input name="pay-type" type="radio" id="mastercard" /> <label for="mastercard">MasterCard</label> <input name="pay-type" type="radio" id="paypal" /> <label for="paypal">PayPal</label> </p> <div class="input-field"> <input id="input_card_name" type="text" name="card-name"> <label for="input_card_name">Name on card</label> </div> <div class="row"> <div class="col m10 s12"> <div class="input-field"> <input id="input_card_number" type="text" name="card-number"> <label for="input_card_number">Card number</label> </div> </div> <div class="col m2 s12"> <div class="input-field"> <input id="input_card_cvv" type="text" name="card-cvv"> <label for="input_card_cvv">CVV2</label> </div> </div> </div> <div class="row"> <div class="col m5 s12"> <label>Month</label> <select name="card-month" class="browser-default"> <option value="0" selected disabled>Month</option> <option value="1">January</option> <option value="2">February</option> ... </select> </div> <div class="col m3 s12"> <div class="input-field"> <input id="input_card_year" type="text" name="card-year"> <label for="input_card_year">Year</label> </div> </div> </div> <div class="row"> <div class="col"> <button class="waves-effect btn">Continue</button> </div> </div> </form>