@extends('admin.master_layout')
@section('title')
<title>{{__('admin.Create Contact')}}</title>
@endsection
@section('admin-content')
    <!-- Main Content -->
    <div class="main-content">
        <section class="section">
            <div class="section-header">
                <h1>{{__('Create Contact')}}</h1>
                <div class="section-header-breadcrumb">
                    <div class="breadcrumb-item active"><a href="{{ route('admin.dashboard') }}">{{__('admin.Dashboard')}}</a></div>
                    <div class="breadcrumb-item active"><a href="{{ route('admin.contacts') }}">{{__('Contacts')}}</a></div>
                    <div class="breadcrumb-item">{{__('Create Contact')}}</div>
                </div>
            </div>

            <div class="section-body">
                <div class="row">
                    <div class="col-12">
                        <div class="card">
                            <div class="card-body">
                                <form action="{{ route('admin.contacts.store') }}" method="POST">
                                    @csrf
                                    <div class="row">
                                        <!-- Name Information -->
                                        <div class="col-md-4">
                                            <div class="form-group">
                                                <label>{{__('First Name')}} <span class="text-danger">*</span></label>
                                                <input type="text" class="form-control" name="first_name" value="{{ old('first_name') }}">
                                                @error('first_name')
                                                    <span class="text-danger">{{ $message }}</span>
                                                @enderror
                                            </div>
                                        </div>

                                        <div class="col-md-4">
                                            <div class="form-group">
                                                <label>{{__('Middle Name')}}</label>
                                                <input type="text" class="form-control" name="middle_name" value="{{ old('middle_name') }}">
                                            </div>
                                        </div>

                                        <div class="col-md-4">
                                            <div class="form-group">
                                                <label>{{__('Last Name')}}</label>
                                                <input type="text" class="form-control" name="last_name" value="{{ old('last_name') }}">
                                            </div>
                                        </div>

                                        <!-- Contact Information -->
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>{{__('Email Address')}} <span class="text-danger">*</span></label>
                                                <input type="email" class="form-control" name="email_address" value="{{ old('email_address') }}">
                                                @error('email_address')
                                                    <span class="text-danger">{{ $message }}</span>
                                                @enderror
                                            </div>
                                        </div>

                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>{{__('Secondary Email')}}</label>
                                                <input type="email" class="form-control" name="email2_address" value="{{ old('email2_address') }}">
                                            </div>
                                        </div>

                                        <!-- Phone Numbers -->
                                        <div class="col-md-4">
                                            <div class="form-group">
                                                <label>{{__('Home Phone')}}</label>
                                                <input type="text" class="form-control" name="home_phone" value="{{ old('home_phone') }}">
                                            </div>
                                        </div>

                                        <div class="col-md-4">
                                            <div class="form-group">
                                                <label>{{__('Mobile Phone')}}</label>
                                                <input type="text" class="form-control" name="mobile_phone" value="{{ old('mobile_phone') }}">
                                            </div>
                                        </div>

                                        <div class="col-md-4">
                                            <div class="form-group">
                                                <label>{{__('Secondary Mobile')}}</label>
                                                <input type="text" class="form-control" name="mobile2_phone" value="{{ old('mobile2_phone') }}">
                                            </div>
                                        </div>

                                        <!-- Company Information -->
                                        <div class="col-md-12">
                                            <div class="form-group">
                                                <label>{{__('admin.Company')}}</label>
                                                <input type="text" class="form-control" name="company" value="{{ old('company') }}">
                                            </div>
                                        </div>

                                        <!-- Address Information -->
                                        <div class="col-md-12">
                                            <div class="form-group">
                                                <label>{{__('Street Address')}}</label>
                                                <input type="text" class="form-control" name="home_street" value="{{ old('home_street') }}">
                                            </div>
                                        </div>

                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>{{__('admin.City')}}</label>
                                                <input type="text" class="form-control" name="home_city" value="{{ old('home_city') }}">
                                            </div>
                                        </div>

                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>{{__('admin.State')}}</label>
                                                <input type="text" class="form-control" name="home_state" value="{{ old('home_state') }}">
                                            </div>
                                        </div>

                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>{{__('Postal Code')}}</label>
                                                <input type="text" class="form-control" name="postal_code" value="{{ old('postal_code') }}">
                                            </div>
                                        </div>

                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>{{__('Country')}}</label>
                                                <input type="text" class="form-control" name="home_country" value="{{ old('home_country') }}">
                                            </div>
                                        </div>

                                        <!-- Important Dates -->
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>{{__('Birthday')}}</label>
                                                <input type="date" class="form-control" name="birthday" value="{{ old('birthday') }}">
                                            </div>
                                        </div>

                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>{{__('Anniversary')}}</label>
                                                <input type="date" class="form-control" name="anniversary" value="{{ old('anniversary') }}">
                                            </div>
                                        </div>

                                        <!-- Categories -->
                                        <div class="col-md-12">
                                            <div class="form-group">
                                                <label>{{__('Categories')}}</label>
                                                <input type="text" class="form-control" name="categories" value="{{ old('categories') }}" placeholder="Separate categories with commas">
                                            </div>
                                        </div>

                                        <!-- Notes -->
                                        <div class="col-md-12">
                                            <div class="form-group">
                                                <label>{{__('Notes')}}</label>
                                                <textarea class="form-control" name="notes" rows="3">{{ old('notes') }}</textarea>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="row">
                                        <div class="col-md-12">
                                            <button class="btn btn-primary">{{__('admin.Save')}}</button>
                                        </div>
                                    </div>
                                </form>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </section>
    </div>
@endsection