Yu Watanabe
1524ec142d
All checks were successful
Deploy preview (main_watanabe) / deploy (push) Successful in 13s
45 lines
3.3 KiB
PHP
45 lines
3.3 KiB
PHP
@extends('layouts.general')
|
|
@section('content')
|
|
<main role="main" id="" class="">
|
|
<section id="" class="container mt20 mb20">
|
|
<div class="row">
|
|
<div class="col-12 col-lg-10 offset-0 offset-lg-1 mt20 mb20">
|
|
<div class="card border-success">
|
|
<div class="card-header border-success">
|
|
<h5 class="card-title text-success">新規会員登録</h5>
|
|
</div>
|
|
<div class="card-body mt30">
|
|
<p class="h4">入力内容をご確認の上、登録ボタンを押して下さい。</p>
|
|
<section id="" class="container mt50 mb50">
|
|
<form class="row form" action="{{ route('swo2_5') }}" method="post">
|
|
<div class="col-12 col-md-3 offset-0 offset-md-1"><label>お名前</label></div>
|
|
<div class="col-12 col-lg-6 mb10"><h3>{{ $input_data['name'] }}</h3><input type="hidden" name="name" value="{{ $input_data['name'] }}"></div>
|
|
<div class="col-12 col-md-3 offset-0 offset-md-1"><label>フリガナ</label></div>
|
|
<div class="col-12 col-lg-6 mb10"><h3>{{ $input_data['kana'] }}</h3><input type="hidden" name="kana" value="{{ $input_data['kana'] }}"></div>
|
|
<div class="col-12 col-md-3 offset-0 offset-md-1"><label>自宅電話番号</label></div>
|
|
<div class="col-12 col-lg-6 mb10"><h3>{{ implode('-', $input_data['phone']) }}</h3>
|
|
<input type="hidden" name="phone[]" value="{{ $input_data['phone'][0] }}">
|
|
<input type="hidden" name="phone[]" value="{{ $input_data['phone'][1] }}">
|
|
<input type="hidden" name="phone[]" value="{{ $input_data['phone'][2] }}">
|
|
</div>
|
|
<div class="col-12 col-md-3 offset-0 offset-md-1"><label>予備電話番号</label></div>
|
|
<div class="col-12 col-lg-6 mb10"><h3>{{ implode('-', $input_data['mobile']) }}</h3>
|
|
<input type="hidden" name="mobile[]" value="{{ $input_data['mobile'][0] }}">
|
|
<input type="hidden" name="mobile[]" value="{{ $input_data['mobile'][1] }}">
|
|
<input type="hidden" name="mobile[]" value="{{ $input_data['mobile'][2] }}">
|
|
</div>
|
|
<div class="col-12 col-md-3 offset-0 offset-md-1"><label>メールアドレス</label></div>
|
|
<div class="col-12 col-lg-6 mb10"><h3>{{ $input_data['email'] }}</h3><input type="hidden" name="email" value="{{ $input_data['email'] }}"></div>
|
|
<div class="col-12 col-md-5 offset-0 offset-md-1 mt10"><button type="submit" class="btn btn-lg btn-block btn-outline-success" name='submit' value="complete">登録</button></div>
|
|
<div class="col-12 col-md-5 mt10"><button type="submit" class="btn btn-lg btn-block btn-outline-success" name='back' value="back">戻る</button></div>
|
|
<div class="col-12 col-md-4 offset-0 offset-md-4 mt50 mb50"></div>
|
|
@csrf
|
|
</form>
|
|
</section>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</section>
|
|
</main>
|
|
@endsection |