@extends('frontend.layouts.master')

@section('title', 'Bana Özel - Giriş Yap / Kayıt Ol - ')

@section('search')
    <script>
      $('#city').change(function () {
          var optionSelected = $(this).find("option:selected");
          var value  = optionSelected.val();
          $.get('{{ url('api/city') }}/' + value,{},function(output){
            $("#state option").remove();
            $("#state").append(output);
          });
      });
      $('#state').change(function () {
          var optionSelected = $(this).find("option:selected");
          var value  = optionSelected.val();
          $.get('{{ url('api/state') }}/' + value,{},function(output){
            $("#street option").remove();
            $("#street").append(output);
          });
      });
    </script>
@endsection

@section('header')
<style>
    .box-authentication input, .box-authentication select {
        width: 100%;
        border: 1px solid #DADADA;
    }
</style>
@endsection

@section('footer')
@endsection

@section('content')

<!-- page wapper-->
<div class="columns-container">
    <div class="container" id="columns">
        <!-- breadcrumb -->
        <div class="breadcrumb clearfix">
            <a class="home" href="{{ url('/') }}" title="Return to Home">{{ dil('Ana Sayfa') }}</a>
            <span class="navigation-pipe">&nbsp;</span>
            <span class="navigation_page">{{ dil('Bana Özel') }}</span>
        </div>
        <!-- ./breadcrumb -->
        <!-- page heading-->
        <h2 class="page-heading">
            <span class="page-heading-title2">{{ dil('Bireysel Üyelik Başvurusu') }}  </span>
        </h2>
        <!-- ../page heading-->
        <div class="page-content">
            <div class="row">

                <div class="col-sm-8 col-md-offset-2">
                    <div class="box-authentication">
                        <div class="col-md-12">  
                          @include('errors.list')
                          @if(Session::has('message'))
                              <div class="alert alert-info">
                                  {{Session::get('message')}}
                              </div>
                          @endif
                          <p class="text-danger">(*) {{ dil('İşaretli alanlar, doldurulması gereken zorunlu alanlardır.') }} </p>
                        </div>
                        
                        {!! Form::model(null, array('route' => 'self.register.user', 'class' => 'form-horizontal push-10-t push-10 clearfix', 'files' => true)) !!}

                            <div class="col-md-6">

                              <label for="emmail_login">{{ dil('Email') }}</label>
                              {!! Form::text('email', null, array('class' => 'form-control')) !!}
                              
                              <label for="password">{{ dil('Şifre') }}</label>
                              {!! Form::password('password', array('class' => 'form-control')) !!}
                              
                              <label for="confirm_password">{{ dil('Şifre Tekrar') }}</label>
                              {!! Form::password('confirm_password', array('class' => 'form-control')) !!}

                              <label for="first_name">{{ dil('İsim') }}</label>
                              {!! Form::text('first_name', null, array('class' => 'form-control')) !!}

                              <label for="last_name">{{ dil('Soyad') }}</label>
                              {!! Form::text('last_name', null, array('class' => 'form-control')) !!}
                                
                            </div>

                            <div class="col-md-6">
                                  
                                <label for="first_name">{{ dil('Şehir') }}</label>
                                {!! Form::select('city', \App\City::all()->lists('il_adi', 'id'), \Request::get('city'), ['id' => 'city', 'placeholder' => dil('Şehir seçiniz...'), 'class' => 'form-control']) !!}


                                <label for="first_name">{{ dil('İlçe') }}</label>