

		 {!! Form::open(array('url'=>'contacts/savepublic', 'class'=>'form-vertical','files' => true , 'parsley-validate'=>'','novalidate'=>' ')) !!}

	@if(Session::has('messagetext'))
	  
		   {!! Session::get('messagetext') !!}
	   
	@endif
	<ul class="parsley-error-list">
		@foreach($errors->all() as $error)
			<li>{{ $error }}</li>
		@endforeach
	</ul>		


<div class="sbox1"><div class="col-md-6">
						<fieldset class="sbox" style="border-top:0; border-radius: 5px;"><legend> Contact Form</legend>
				<?php if( !isset($row['id']))  $row['id'] = null;   ?>
		<input  type='hidden' name='id' id='id' value='{{$row['id']}}' />
									
									  <div class="form-group  depen-  wrap-first_name  " >
										<label for="ipt" class=" control-label "> First Name  <span class="asterix"> * </span>  </label>
										
										
										  <?php if( !isset($row['first_name']))  $row['first_name'] = null;   ?>
		<input  type='text' name='first_name' id='first_name' value='{{ $row['first_name'] }}' 
						required       class='form-control input-sm ' /> 						
									  </div> 					
									  <div class="form-group  depen-  wrap-last_name  " >
										<label for="ipt" class=" control-label "> Last Name  <span class="asterix"> * </span>  </label>
										
										
										  <?php if( !isset($row['last_name']))  $row['last_name'] = null;   ?>
		<input  type='text' name='last_name' id='last_name' value='{{ $row['last_name'] }}' 
						required       class='form-control input-sm ' /> 						
									  </div> 					
									  <div class="form-group  depen-  wrap-email  " >
										<label for="ipt" class=" control-label "> Email  <span class="asterix"> * </span>  </label>
										
										
										  <?php if( !isset($row['email']))  $row['email'] = null;   ?>
		<input  type='text' name='email' id='email' value='{{ $row['email'] }}' 
						required       class='form-control input-sm ' /> 						
									  </div></fieldset>
			</div>
			
			<div class="col-md-6">
						<fieldset class="sbox" style="border-top:0; border-radius: 5px;"><legend> Additional Details</legend>
									
									  <div class="form-group  depen-  wrap-reason  " >
										<label for="ipt" class=" control-label "> Reason  <span class="asterix"> * </span>  </label>
										
										
										  <?php if( !isset($row['reason']))  $row['reason'] = null;   ?>
		<input  type='text' name='reason' id='reason' value='{{ $row['reason'] }}' 
						required       class='form-control input-sm ' /> 						
									  </div> 					
									  <div class="form-group  depen-  wrap-message  " >
										<label for="ipt" class=" control-label "> Message  <span class="asterix"> * </span>  </label>
										
										
										  <?php if( !isset($row['message']))  $row['message'] = null;   ?>
		<textarea name='message' rows='5' id='message' class='form-control input-sm '  
				         required    >{{ $row['message'] }}</textarea> 						
									  </div> </fieldset>
			</div>
			
			
		</div>
		
		

			<div style="clear:both"></div>	
				
					
				  <div class="form-group">
					<label class="col-sm-4 text-right">&nbsp;</label>
					<div class="col-sm-8">	
					<button type="submit" name="apply" class="btn btn-info btn-sm" ><i class="fa  fa-check-circle"></i> {{ Lang::get('core.sb_apply') }}</button>
					<button type="submit" name="submit" class="btn btn-primary btn-sm" ><i class="fa  fa-save "></i> {{ Lang::get('core.sb_save') }}</button>
				  </div>	  
			
		</div> 
		 <input type="hidden" name="action_task" value="public" />
		 {!! Form::close() !!}
		 
   <script type="text/javascript">
	$(document).ready(function() { 
		
		 

		$('.removeCurrentFiles').on('click',function(){
			var removeUrl = $(this).attr('href');
			$.get(removeUrl,function(response){});
			$(this).parent('div').empty();	
			return false;
		});		
		
	});
	</script>		 
