<div class="modal success" id="modal-request" name="modal-ticket">
    <div class="modal-dialog">
        <div class="modal-content text-center">
            <div class="fader hidden">
                <img class="loader" src="<?php echo e(asset('images/loader.svg')); ?>" width="100" height="100"/>
            </div>
            <br/>
            <div class="modal-body text-center">
                <form id="requestForm" role="form" method="post">
                    <div class="form-group col-sm-6">
                        <label for="name"><?php echo e(Lang::get('lang.name')); ?></label>
                        <input type="text" class="form-control" id="name" name="name">
                        <span class="removeError unisans-regular-italic color-red nameError"></span>
                    </div>

                    <div class="form-group col-sm-6">
                        <label for="businessName"><?php echo e(Lang::get('lang.businessName')); ?></label>
                        <input type="text" class="form-control" id="businessName" name="businessName">
                        <span class="removeError unisans-regular-italic color-red businessNameError"></span>
                    </div>

                    <div class="form-group col-sm-6">
                        <label for="subject"><?php echo e(Lang::get('lang.phone')); ?> </label>
                        <input type="text" class="form-control" id="phone" name="phone">
                        <span class="removeError unisans-regular-italic color-red phoneError"></span>
                    </div>


                    <div class="form-group col-sm-6">
                        <label for="email"><?php echo e(Lang::get('lang.email')); ?> </label>
                        <input type="email" class="form-control" id="email" name="email">
                        <span class="removeError unisans-regular-italic color-red emailError"></span>
                    </div>


                    <div class="form-group col-sm-12">
                        <label for="message"><?php echo e(Lang::get('lang.message')); ?></label>
                        <textarea class="ticketTextArea form-control" rows="3" name="message"></textarea>
                        <span class="removeError unisans-regular-italic color-red messageError"></span>
                    </div>


                    <div>
                        <button id="sendRequest"
                                class="bttn-default"
                                type="button"><?php echo e(Lang::get('lang.send')); ?></button>
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>
<?php /**PATH /Users/milenchavdarov/Desktop/prosmart/prosmart/resources/views/layouts/partials/request-modal.blade.php ENDPATH**/ ?>