<div id="dmits-inquiry-sales-form">
<div class="dmits-inquiry-sales-form-error alert alert-danger">
<div class="alert-content-container">
{{ 'dmits-inquirysales.fail.alert'|trans }}
</div>
</div>
<span>{{ 'dmits-inquirysales.popup.formheadertext'|trans|raw }}</span>
<form class="dmits-inquiry-sales-form-validation" novalidate>
{{ sw_csrf('frontend.action.dmits.send-request') }}
<div class="form-group">
<label class="form-label" for="dmits-inquiry-sales-product">{{ 'dmits-inquirysales.popup.product'|trans }}</label>
<input disabled type="text" value="" class="form-control"
name="dmits-inquiry-sales-product"
id="dmits-inquiry-sales-product">
</div>
<div class="form-group">
<label class="form-label" for="dmits-inquiry-sales-firstname">{{ 'dmits-inquirysales.popup.firstname'|trans }}</label>
<input type="text" value="" class="form-control"
name="dmits-inquiry-sales-firstname"
id="dmits-inquiry-sales-firstname" required="required">
</div>
<div class="form-group">
<label class="form-label" for="dmits-inquiry-sales-lastname">{{ 'dmits-inquirysales.popup.lastname'|trans }}</label>
<input type="text" value="" class="form-control"
name="dmits-inquiry-sales-lastname"
id="dmits-inquiry-sales-lastname" required="required">
</div>
<div class="form-group">
<label class="form-label" for="dmits-inquiry-sales-mail">{{ 'dmits-inquirysales.popup.mail'|trans }}</label>
<input type="mail" value="" class="form-control"
name="dmits-inquiry-sales-mail" id="dmits-inquiry-sales-mail"
required="required">
</div>
<div class="form-group" style="display:none">
<label class="form-label" for="dmits-inquiry-sales-zip">{{ 'dmits-inquirysales.popup.zip'|trans }}</label>
<input type="text" value="" class="form-control"
name="dmits-inquiry-sales-zip" id="dmits-inquiry-sales-zip"
>
</div>
<div class="form-group">
<label class="form-label" for="dmits-inquiry-sales-phonenumber">{{ 'dmits-inquirysales.popup.phonenumber'|trans }}</label>
<input type="text" value="" class="form-control"
name="dmits-inquiry-sales-phonenumber" id="dmits-inquiry-sales-phonenumber"
required="required">
</div>
<div class="form-group">
<label class="form-label" for="dmits-inquiry-sales-company">{{ 'dmits-inquirysales.popup.company'|trans }}</label>
<input type="text" value="" class="form-control"
name="dmits-inquiry-sales-company" id="dmits-inquiry-sales-company"
>
</div>
<div class="form-group">
<label class="form-label" for="dmits-inquiry-sales-comment">{{ 'dmits-inquirysales.popup.comment'|trans }}</label>
<textarea class="form-control" id="dmits-inquiry-sales-comment"
name="dmits-inquiry-sales-comment"></textarea>
</div>
<div class="form-group">
<input type="checkbox" id="dmits-inquiry-sales-box"
required="required"> <label
for="dmits-inquiry-sales-box">
{{ 'dmits-inquirysales.popup.agreebox'|trans }}
</label>
</div>
{% if config('DmitsInquirySales.config.shopwarecaptchaactive') %}
{% sw_include '@Storefront/storefront/component/captcha/base.html.twig' %}
{% endif %}
<input type="hidden" name="dmits-inquiry-sales-rca" id="dmits-inquiry-sales-rca"
value="{% if config('DmitsInquirySales.config.googlerecaptchaactive') %}1{% else %}0{% endif %}">
{% if config('DmitsInquirySales.config.googlerecaptchaactive') == true %}
<input type="hidden" name="dmits-inquiry-sales-deftoken" id="dmits-inquiry-sales-deftoken"
value="{{ config('DmitsInquirySales.config.googlerecaptchatoken') }}">
<input type="hidden" name="dmits-inquiry-sales-token" id="dmits-inquiry-sales-token" value="">
{% endif %}
<input type="submit" class="col-12 btn btn-primary"
value="Senden" id="dmits-inquiry-sales-form-submit">
</form>
</div>