{!! Form::open(['url' => $url, 'method' => 'POST']) !!}
    <div class="form-header py-4">
        <h3>{{ SeoHelper::getTitle() }}</h3>
    </div>
    <div class="form-content">
        <div class="mb-3">
            <label for="name">{{ __('Full Name') }}:</label>
            <input id="name" type="text" class="form-control @if ($errors->has('name')) is-invalid @endif"
                name="name" value="{{ $address->name }}" placeholder="{{ __('Enter Full Name') }}" required minlength="3" maxlength="120">
            @if ($errors->has('name'))
                <div class="invalid-feedback">
                    {{ $errors->first('name') }}
                </div>
            @endif
        </div>

        <div class="mb-3">
            <label for="email">{{ __('Email') }}:</label>
            <input id="email" type="email" class="form-control @if ($errors->has('email')) is-invalid @endif"
                name="email" value="{{ $address->email }}" placeholder="{{ __('Enter Email') }}" required>
            @if ($errors->has('email'))
                <div class="invalid-feedback">
                    {{ $errors->first('email') }}
                </div>
            @endif
        </div>

        <div class="mb-3">
            <label for="phone">{{ __('Phone:') }}</label>
            <input id="phone" type="text" class="form-control @if ($errors->has('email')) is-invalid @endif"
                name="phone" value="{{ $address->phone }}" placeholder="{{ __('Enter Phone') }}" required>
            @if ($errors->has('phone'))
                <div class="invalid-feedback">
                    {{ $errors->first('phone') }}
                </div>
            @endif
        </div>

        <div class="mb-3">
            @if (EcommerceHelper::isUsingInMultipleCountries())
                <label for="country">{{ __('Country') }}:</label>
                <select name="country" class="form-select @if ($errors->has('state')) is-invalid @endif" id="country" data-type="country" required>
                    @foreach(EcommerceHelper::getAvailableCountries() as $countryCode => $countryName)
                        <option value="{{ $countryCode }}" @if ($address->country == $countryCode) selected @endif>{{ $countryName }}</option>
                    @endforeach
                </select>
            @else
                <input type="hidden" name="country" value="{{ EcommerceHelper::getFirstCountryId() }}">
            @endif
            @if ($errors->has('country'))
                <div class="invalid-feedback">
                    {{ $errors->first('country') }}
                </div>
            @endif
        </div>

        <div class="mb-3">
            <label for="state">{{ __('State') }}:</label>
            @if (EcommerceHelper::loadCountriesStatesCitiesFromPluginLocation())
                <select name="state" class="form-select @if ($errors->has('state')) is-invalid @endif" id="state" data-type="state" data-placeholder="{{ __('Select state...') }}" data-url="{{ route('ajax.states-by-country') }}">
                    <option value="">{{ __('Select state...') }}</option>
                    @if (old('country', $address->country) || !EcommerceHelper::isUsingInMultipleCountries())
                        @foreach(EcommerceHelper::getAvailableStatesByCountry(old('country', $address->country)) as $stateId => $stateName)
                            <option value="{{ $stateId }}" @if (old('state', $address->state) == $stateId) selected @endif>{{ $stateName }}</option>
                        @endforeach
                    @endif
                </select>
            @else
                <input id="state" type="text" class="form-control @if ($errors->has('state')) is-invalid @endif" name="state" value="{{ $address->state }}" placeholder="{{ __('Enter State') }}" required>
            @endif
            @if ($errors->has('state'))
                <div class="invalid-feedback">
                    {{ $errors->first('state') }}
                </div>
            @endif
        </div>

        <div class="mb-3">
            <label for="city">{{ __('City') }}:</label>
            @if (EcommerceHelper::loadCountriesStatesCitiesFromPluginLocation())
                <select name="city" class="form-select @if ($errors->has('city')) is-invalid @endif" id="city" data-type="city" data-placeholder="{{ __('Select city...') }}" data-url="{{ route('ajax.cities-by-state') }}">
                    <option value="">{{ __('Select city...') }}</option>
                    @if (old('state', $address->state))
                        @foreach(EcommerceHelper::getAvailableCitiesByState(old('state', $address->state)) as $cityId => $cityName)
                            <option value="{{ $cityId }}" @if (old('city', $address->city) == $cityId) selected @endif>{{ $cityName }}</option>
                        @endforeach
                    @endif
                </select>
            @else
                <input id="city" type="text" class="form-control" name="city" value="{{ $address->city }}" placeholder="{{ __('Enter City') }}">
            @endif
            @if ($errors->has('city'))
                <div class="invalid-feedback">
                    {{ $errors->first('city') }}
                </div>
            @endif
        </div>

        <div class="mb-3">
            <label for="address">{{ __('Address') }}:</label>
            <input id="address" type="text" class="form-control @if ($errors->has('address')) is-invalid @endif" name="address" value="{{ $address->address }}" placeholder="{{ __('Enter Address') }}">
            @if ($errors->has('address'))
                <div class="invalid-feedback">
                    {{ $errors->first('address') }}
                </div>
            @endif
        </div>

        @if (EcommerceHelper::isZipCodeEnabled())
            <div class="mb-3">
                <label>{{ __('Zip code') }}:</label>
                <input id="zip_code" type="text" class="form-control @if ($errors->has('zip_code')) is-invalid @endif" name="zip_code" value="{{ $address->zip_code }}" placeholder="{{ __('Enter Zip code') }}">
                @if ($errors->has('zip_code'))
                    <div class="invalid-feedback">
                        {{ $errors->first('zip_code') }}
                    </div>
                @endif
            </div>
        @endif

        <div class="mb-3">
            <div class="form-check">
                <input class="form-check-input" type="checkbox" name="is_default" value="1" @if ($address->is_default) checked @endif id="is-default">
                <label class="form-check-label" for="is-default">{{ __('Use this address as default') }}</label>
            </div>
            @if ($errors->has('is_default'))
                <div class="invalid-feedback">
                    {{ $errors->first('is_default') }}
                </div>
            @endif
        </div>

        <div class="mb-3">
            <button class="btn btn-primary" type="submit">{{ __('Save address') }}</button>
        </div>
    </div>
{!! Form::close() !!}