📄 5ce38eb6ae0c624d0cddc60816934b8a.php

<?php $fid = 'nef_'.Str::random(6); ?>
<div class="card rounded-3xl p-7 md:p-8">
  <div class="flex items-center gap-3 mb-6">
    <span class="text-3xl">🇳🇵</span>
    <div>
      <h3 class="font-bold text-base" style="color: var(--dark);"><?php echo e(__('site.nepal_form_heading')); ?></h3>
      <p class="text-xs" style="color: var(--text-muted);"><?php echo e(__('site.nepal_form_sub')); ?></p>
    </div>
  </div>

  <div id="<?php echo e($fid); ?>_success" class="hidden rounded-2xl p-5 mb-4 text-center" style="background: rgba(34,197,94,0.08); border: 1px solid rgba(34,197,94,0.22);">
    <svg class="w-10 h-10 mx-auto mb-3" style="color:#22C55E" fill="none" stroke="currentColor" viewBox="0 0 24 24" stroke-width="2"><path stroke-linecap="round" stroke-linejoin="round" d="M9 12l2 2 4-4m6 2a9 9 0 11-18 0 9 9 0 0118 0z"/></svg>
    <p class="font-bold text-sm" style="color: var(--dark);"><?php echo e(__('site.nepal_form_success')); ?></p>
    <p class="text-xs mt-1" style="color: var(--text-muted);"><?php echo e(__('site.nepal_form_success_sub')); ?></p>
  </div>

  <form id="<?php echo e($fid); ?>" class="space-y-4" onsubmit="submitEnquiry(event, '<?php echo e($fid); ?>')">
    <?php echo csrf_field(); ?>
    <input type="hidden" name="buyer_type"  value="nepal_export">
    <input type="hidden" name="source_page" value="<?php echo e(request()->path()); ?>">
    <input type="hidden" name="language"    value="<?php echo e(app()->getLocale()); ?>">
    <input type="text"   name="_honey"      class="hidden" tabindex="-1" autocomplete="off">

    <div class="grid grid-cols-2 gap-3">
      <div>
        <label class="form-label"><?php echo e(__('site.nepal_form_company')); ?> *</label>
        <input type="text" name="company_name" required placeholder="<?php echo e(__('site.nepal_form_company_ph')); ?>" class="form-input">
      </div>
      <div>
        <label class="form-label"><?php echo e(__('site.nepal_form_contact')); ?> *</label>
        <input type="text" name="name" required placeholder="<?php echo e(__('site.nepal_form_contact_ph')); ?>" class="form-input">
      </div>
    </div>

    <div class="grid grid-cols-2 gap-3">
      <div>
        <label class="form-label"><?php echo e(__('site.nepal_form_phone')); ?> *</label>
        <input type="tel" name="phone" required placeholder="+977-XXXXXXXXX" class="form-input">
      </div>
      <div>
        <label class="form-label"><?php echo e(__('site.nepal_form_city')); ?></label>
        <input type="text" name="city_district" placeholder="<?php echo e(__('site.nepal_form_city_ph')); ?>" class="form-input">
      </div>
    </div>

    <div>
      <label class="form-label"><?php echo e(__('site.nepal_form_products')); ?> *</label>
      <textarea name="product_interest" required rows="3" placeholder="<?php echo e(__('site.nepal_form_products_ph')); ?>" class="form-input resize-none"></textarea>
    </div>

    <div>
      <label class="form-label"><?php echo e(__('site.nepal_form_qty')); ?></label>
      <input type="text" name="monthly_quantity" placeholder="<?php echo e(__('site.nepal_form_qty_ph')); ?>" class="form-input">
    </div>

    <button type="submit" class="btn-accent w-full" style="border-radius: 14px;">
      <svg class="w-4 h-4" fill="none" stroke="currentColor" viewBox="0 0 24 24" stroke-width="2"><path stroke-linecap="round" stroke-linejoin="round" d="M12 19l9 2-9-18-9 18 9-2zm0 0v-8"/></svg>
      <?php echo e(__('site.nepal_form_submit')); ?>

    </button>
  </form>
</div>
<?php /**PATH /home/skhata/chandrasons.com/resources/views/partials/nepal-enquiry-form.blade.php ENDPATH**/ ?>