@include('affiliate.merchant_header')
@csrf
Business Information
@if(!empty($labels)) @foreach($labels as $label) @if($label->heading_type == 'business') @if($label->status == 1) @if($label->column_name != 'unique_url')
@if($label->data_type == 'select_option') Select @endif {{$label->title}} @if($label->data_type == 'date') (mm/dd/yyyy) @endif @if($label->merchant_required == 1)
*
@endif
@if($label->label_title_url == 'country')
United States
@elseif($label->label_title_url == 'state' || $label->data_type=='select_state')
label_title_url == 'state') name="state" @endif @if($label->data_type == 'select_state') name="{{$label->column_name}}" @endif id="state" data-country="US">
Select State
@if(!empty($state_list)) @foreach($state_list as $state)
column_name) == $state->state_name ? 'selected' : '' }}>{{$state->state_name}}
@endforeach @endif
@elseif($label->data_type == 'select_option') @php $values = $label->values; $arr = json_decode($values); @endphp @if(!empty($arr))
@php foreach($arr as $val) { @endphp
{{ucwords($val)}}
@php } @endphp
@endif @elseif($label->data_type == 'date')
merchant_required == 1) required @endif placeholder="Enter {{$label->title}}" data-inputmask="'alias': 'mm/dd/yyyy'" data-mask /> @elseif($label->data_type == 'datetime-local')
merchant_required == 1) required @endif placeholder="Enter {{$label->title}}"/> @elseif($label->data_type == 'email')
merchant_required == 1) required @endif placeholder="Enter {{$label->title}}"/> @else
data_type == 'number' || $label->data_type == 'currency') oninput="this.value = this.value.replace(/[^0-9.]/g, '').replace(/(\..*)\./g, '$1');" @endif value="{{old($label->column_name)}}" class="form-control @if($label->merchant_required == 1) text-danger border-danger @endif @if($label->data_type == 'date') datepicker @endif @if($label->data_type == 'phone_number') phone_number @endif " @if($label->data_type == 'phone_number') onkeypress="return isNumberKey($(this));" @endif @if($label->merchant_required == 1) required @endif placeholder="Enter {{$label->title}}"/> @endif
@endif @endif @endif @endforeach @endif
Owner Information
@if(!empty($labels)) @foreach($labels as $label) @if($label->heading_type == 'owner') @if($label->status == 1) @if($label->column_name != 'unique_url')
@if($label->data_type == 'select_option') Select @endif {{$label->title}} @if($label->data_type == 'date') (mm/dd/yyyy) @endif @if($label->merchant_required == 1)
*
@endif
@if($label->label_title_url == 'country')
United States
@elseif($label->label_title_url == 'state' || $label->data_type=='select_state')
required == 1) required @endif class="form-select" @if($label->label_title_url == 'state') name="state" @endif @if($label->data_type == 'select_state') name="{{$label->column_name}}" @endif id="state" data-country="US">
Select State
@if(!empty($state_list)) @foreach($state_list as $state)
column_name) == $state->state_name ? 'selected' : '' }}>{{$state->state_name}}
@endforeach @endif
@elseif($label->data_type == 'select_option') @php $values = $label->values; $arr = json_decode($values); @endphp @if(!empty($arr))
Select Option
@php foreach($arr as $val) { @endphp
{{ucwords($val)}}
@php } @endphp
@endif @elseif($label->data_type == 'date')
merchant_required == 1) required @endif placeholder="Enter {{$label->title}}" data-inputmask="'alias': 'mm/dd/yyyy'" data-mask /> @elseif($label->data_type == 'datetime-local')
merchant_required == 1) required @endif placeholder="Enter {{$label->title}}"/> @elseif($label->data_type == 'email')
merchant_required == 1) required @endif placeholder="Enter {{$label->title}}"/> @else
data_type == 'number' || $label->data_type == 'currency') oninput="this.value = this.value.replace(/[^0-9.]/g, '').replace(/(\..*)\./g, '$1');" @endif value="{{old($label->column_name)}}" class="form-control @if($label->merchant_required == 1) text-danger border-danger @endif @if($label->data_type == 'date') datepicker @endif @if($label->data_type == 'phone_number') phone_number @endif " @if($label->data_type == 'phone_number') onkeypress="return isNumberKey($(this));" @endif @if($label->merchant_required == 1) required @endif placeholder="Enter {{$label->title}}"/> @endif
@endif @endif @endif @endforeach @endif
Add Second Owner
Second Owner Information
@if(!empty($labels)) @foreach($labels as $label) @if($label->heading_type == 'second_owner') @if($label->status == 1) @if($label->column_name != 'unique_url')
@if($label->data_type == 'select_option') Select @endif {{$label->title}} @if($label->data_type == 'date') (mm/dd/yyyy) @endif @if($label->merchant_required == 1)
*
@endif
@if($label->label_title_url == 'country')
United States
@elseif($label->label_title_url == 'state' || $label->data_type=='select_state')
required == 1) required @endif class="form-select second-owner-field" @if($label->label_title_url == 'state') name="state" @endif @if($label->data_type == 'select_state') name="{{$label->column_name}}" @endif id="state" data-country="US">
Select State
@if(!empty($state_list)) @foreach($state_list as $state)
column_name) == $state->state_name ? 'selected' : '' }}>{{$state->state_name}}
@endforeach @endif
@elseif($label->data_type == 'select_option') @php $values = $label->values; $arr = json_decode($values); @endphp @if(!empty($arr))
Select Option
@php foreach($arr as $val) { @endphp
{{ucwords($val)}}
@php } @endphp
@endif @elseif($label->data_type == 'date')
merchant_required == 1) required @endif placeholder="Enter {{$label->title}}" data-inputmask="'alias': 'mm/dd/yyyy'" data-mask /> @elseif($label->data_type == 'datetime-local')
merchant_required == 1) required @endif placeholder="Enter {{$label->title}}"/> @elseif($label->data_type == 'email')
merchant_required == 1) required @endif placeholder="Enter {{$label->title}}"/> @else
data_type == 'number' || $label->data_type == 'currency') oninput="this.value = this.value.replace(/[^0-9.]/g, '').replace(/(\..*)\./g, '$1');" @endif value="{{old($label->column_name)}}" class="form-control second-owner-field @if($label->merchant_required == 1) text-danger border-danger @endif @if($label->data_type == 'date') datepicker @endif @if($label->data_type == 'phone_number') phone_number @endif " @if($label->data_type == 'phone_number') onkeypress="return isNumberKey($(this));" @endif @if($label->merchant_required == 1) required @endif placeholder="Enter {{$label->title}}"/> @endif
@endif @endif @endif @endforeach @endif
First Owner's Signature
Clear Signature
Second Owner's Signature(if any)
Clear Signature