<?php defined('BASEPATH') or exit('No direct script access allowed'); ?>
<div class="col-md-4 col-md-offset-4 text-center mbot15">
    <h1 class="text-uppercase register-heading"><?php echo _l('clients_register_heading'); ?></h1>
</div>
<div class="col-md-10 col-md-offset-1">
    <?php echo form_open('purchase/authentication_vendor/register', ['id'=>'register-form']); ?>
    <div class="panel_s">
        <div class="panel-body">
            <div class="row">
                <div class="col-md-6">
                    <h4 class="bold register-contact-info-heading"><?php echo _l('client_register_contact_info'); ?></h4>
                    <div class="form-group mtop15 register-firstname-group">
                        <label class="control-label" for="firstname"><?php echo _l('clients_firstname'); ?></label>
                        <input type="text" class="form-control" name="firstname" id="firstname" value="<?php echo set_value('firstname'); ?>">
                        <?php echo form_error('firstname'); ?>
                    </div>
                    <div class="form-group register-lastname-group">
                        <label class="control-label" for="lastname"><?php echo _l('clients_lastname'); ?></label>
                        <input type="text" class="form-control" name="lastname" id="lastname" value="<?php echo set_value('lastname'); ?>">
                        <?php echo form_error('lastname'); ?>
                    </div>
                    <div class="form-group register-email-group">
                        <label class="control-label" for="email"><?php echo _l('clients_email'); ?></label>
                        <input type="email" class="form-control" name="email" id="email" value="<?php echo set_value('email'); ?>">
                        <?php echo form_error('email'); ?>
                    </div>
                    <div class="form-group register-contact-phone-group">
                        <label class="control-label" for="contact_phonenumber"><?php echo _l('clients_phone'); ?></label>
                        <input type="text" class="form-control" name="contact_phonenumber" id="contact_phonenumber" value="<?php echo set_value('contact_phonenumber'); ?>">
                    </div>
                    <div class="form-group register-website-group">
                        <label class="control-label" for="website"><?php echo _l('client_website'); ?></label>
                        <input type="text" class="form-control" name="website" id="website" value="<?php echo set_value('website'); ?>">
                    </div>
                    <div class="form-group register-position-group">
                        <label class="control-label" for="title"><?php echo _l('contact_position'); ?></label>
                        <input type="text" class="form-control" name="title" id="title" value="<?php echo set_value('title'); ?>">
                    </div>
                    <div class="form-group register-password-group">
                        <label class="control-label" for="password"><?php echo _l('clients_register_password'); ?></label>
                        <input type="password" class="form-control" name="password" id="password">
                        <?php echo form_error('password'); ?>
                    </div>
                    <div class="form-group register-password-repeat-group">
                        <label class="control-label" for="passwordr"><?php echo _l('clients_register_password_repeat'); ?></label>
                        <input type="password" class="form-control" name="passwordr" id="passwordr">
                        <?php echo form_error('passwordr'); ?>
                    </div>
                   
                </div>
                <div class="col-md-6">
                    <h4 class="bold register-company-info-heading"><?php echo _l('client_register_company_info'); ?></h4>
                    <div class="form-group mtop15 register-company-group">
                        <label class="control-label" for="company"><?php echo _l('clients_company'); ?></label>
                        <input type="text" class="form-control" name="company" id="company" value="<?php echo set_value('company'); ?>">
                        <?php echo form_error('company'); ?>
                    </div>
                    <?php if(get_option('company_requires_vat_number_field') == 1){ ?>
                    <div class="form-group register-vat-group">
                        <label class="control-label" for="vat"><?php echo _l('vendor_vat'); ?></label>
                        <input type="text" class="form-control" name="vat" id="vat" value="<?php echo set_value('vat'); ?>">
                    </div>
                    <?php } ?>
                    <div class="form-group register-company-phone-group">
                        <label class="control-label" for="phonenumber"><?php echo _l('clients_phone'); ?></label>
                        <input type="text" class="form-control" name="phonenumber" id="phonenumber" value="<?php echo set_value('phonenumber'); ?>">
                    </div>
                    <div class="form-group register-country-group">
                        <label class="control-label" for="lastname"><?php echo _l('clients_country'); ?></label>
                        <select data-none-selected-text="<?php echo _l('dropdown_non_selected_tex'); ?>" data-live-search="true" name="country" class="form-control" id="country">
                            <option value=""></option>
                            <?php foreach(get_all_countries() as $country){ ?>
                            <option value="<?php echo pur_html_entity_decode($country['country_id']); ?>"<?php if(get_option('customer_default_country') == $country['country_id']){echo ' selected';} ?> <?php echo set_select('country', $country['country_id']); ?>><?php echo pur_html_entity_decode($country['short_name']); ?></option>
                            <?php } ?>
                        </select>
                    </div>
                    <div class="form-group register-city-group">
                        <label class="control-label" for="city"><?php echo _l('clients_city'); ?></label>
                        <input type="text" class="form-control" name="city" id="city" value="<?php echo set_value('city'); ?>">
                    </div>
                    <div class="form-group register-address-group">
                        <label class="control-label" for="address"><?php echo _l('clients_address'); ?></label>
                        <input type="text" class="form-control" name="address" id="address" value="<?php echo set_value('address'); ?>">
                    </div>
                    <div class="form-group register-zip-group">
                        <label class="control-label" for="zip"><?php echo _l('clients_zip'); ?></label>
                        <input type="text" class="form-control" name="zip" id="zip" value="<?php echo set_value('zip'); ?>">
                    </div>
                    <div class="form-group register-state-group">
                        <label class="control-label" for="state"><?php echo _l('clients_state'); ?></label>
                        <input type="text" class="form-control" name="state" id="state" value="<?php echo set_value('state'); ?>">
                    </div>

                </div>

                <?php if(render_custom_fields( 'vendors','') != ''){ ?>
                <div class="col-md-12">
                        
                            <hr class="hr-panel-separator" />
                        

                        <?php echo render_custom_fields( 'vendors',''); ?>
                </div>
                <?php } ?>

                <div class="col-md-12 register-terms-and-conditions-wrapper">
                    <div class="text-center">
                        <div class="checkbox">
                            <input type="checkbox" name="accept_terms_and_conditions" id="accept_terms_and_conditions" <?php echo set_checkbox('accept_terms_and_conditions', 'on'); ?>>
                            <label for="accept_terms_and_conditions">
                                <?php echo _l('gdpr_terms_agree', site_url('purchase/vendors_portal/terms_and_conditions')); ?>
                            </label>
                        </div>
                        <?php echo form_error('accept_terms_and_conditions'); ?>
                    </div>
                </div>
          
       </div>

       <div class="row">
            <div class="col-md-12 text-center">
                <div class="form-group">
                    <button type="submit" autocomplete="off" data-loading-text="<?php echo _l('wait_text'); ?>" class="btn btn-info"><?php echo _l('clients_register_string'); ?></button>
                </div>
            </div>
        </div>
   </div>
</div>

<?php echo form_close(); ?>
</div>
