{# {% extends app.request.get('project_setting').instance_theme_path~':'~ app.request.get('project_setting').instance_theme ~':ContactUs/contactContentLayout.html.twig' %}#}
{% extends app.request.get('project_setting').instance_theme_path~':'~ app.request.get('project_setting').instance_theme ~':ContactUs/contactLayout.html.twig' %}
{% set fname = '' %}
{% set lname = '' %}
{% set emailId = '' %}

{% if app.user %}
        {% set fname = app.user.firstName %}    
        {% set lname = app.user.lastName %}
        {% set emailId = '' %}
{% endif %}
{% if submittedFirstName is defined %}
    {% set fname = submittedFirstName %}    
    {% set lname = submittedLastName %}
    {% set emailId = submittedEmail %}
{% endif %}
{% block name_block %}
   {#} <label class="checkout-label" for="fullName">{{ 'cms.front.contact.name_label'|trans }}<i class="mandatory-field">*</i></label>{#}
    {{ form_widget(contactUs.fullName,{'attr':{'class':'input','data-toggle':'tooltip','data-placement':'bottom','title':'', 'data-original-title':'contact_us.first_name.tooltip'|trans,'placeholder':'contact_us.first_name.label'|trans,'value':fname}} ) }}
    {{ form_errors(contactUs.fullName) }}
{% endblock name_block %}

{% block last_name_block %}
   {#} <label class="checkout-label" for="fullName">{{ 'cms.front.contact.name_label'|trans }}<i class="mandatory-field">*</i></label>{#}
    {{ form_widget(contactUs.lastName,{'attr':{'class':'input','data-toggle':'tooltip','data-placement':'bottom','title':'', 'data-original-title':'contact_us.last_name.tooltip'|trans,'placeholder':'contact_us.last_name.label'|trans,'value':lname}} ) }}
    {{ form_errors(contactUs.lastName) }}
{% endblock last_name_block %}

{% block phone_block %}
  {#}  <label class="checkout-label" for="phone">{{ 'cms.front.contact.phone_label'|trans }}<i class="mandatory-field">*</i></label>{#}
    {{ form_widget(contactUs.phone,{'attr':{'class':'input js-phone','autocomplete':'off','data-toggle':'tooltip','data-placement':'bottom','title':'', 'data-original-title':'contact_us.phone.label'|trans,'placeholder':'contact_us.phone.label'|trans}} ) }}
    {{ form_errors(contactUs.phone) }}
{% endblock phone_block %}

{% block email_block %}
{#} <label class="checkout-label" for="email">{{ 'cms.front.contact.email_label'|trans }}<i class="mandatory-field">*</i></label>{#}
    {{ form_widget(contactUs.email,{'attr':{'class':'input','data-toggle':'tooltip','data-placement':'bottom','title':'', 'data-original-title':'cms.front.contact.email_label'|trans,'placeholder':'contact_us.email.label'|trans}} ) }}
    {{ form_errors(contactUs.email) }}
{% endblock email_block %}

{% block company_block %}
   {#} <label class="checkout-label" for="companyName">{{ 'cms.front.contact.company_label'|trans }}</label>{#}
    {{ form_widget(contactUs.companyName,{'attr':{'class':'input','data-toggle':'tooltip','data-placement':'bottom','title':'', 'data-original-title':'cms.front.contact.company_label'|trans,'placeholder':'contact_us.company_name.label'|trans}} ) }}
    {{ form_errors(contactUs.companyName) }}
{% endblock company_block %}

{% block country_block %}
   {#} <label class="checkout-label" for="companyName">{{ 'cms.front.contact.company_label'|trans }}</label>{#}
{{ form_widget(contactUs.countryId,{'attr': {'class':'custom-select  js-country','data-original-title': 'cms.front.order_catalog.country.label'|trans, 'data-placement':'bottom', 'data-toggle':'tooltip' }}) }}
{{ form_errors(contactUs.countryId) }}
{% endblock country_block %}

{% block countryname_block %}
	{{ form_widget(contactUs.countryName, {'attr': {'class':'input', 'data-toggle':'tooltip', 'data-placement':'bottom', 'data-original-title':'contact_us.country.tooltip'|trans, 'placeholder':'* ' ~ 'contact_us.country.tooltip'|trans}}) }}
	{{ form_errors(contactUs.countryName) }}
{% endblock countryname_block %}

{% block state_block %}
   {#} <label class="checkout-label" for="companyName">{{ 'cms.front.contact.company_label'|trans }}</label>{#}
{{ form_widget(contactUs.stateId,{'attr': {'class':'custom-select  js-state','data-original-title': 'contact_us.state.tooltip'|trans, 'data-placement':'bottom', 'data-toggle':'tooltip' }}) }}
{{ form_errors(contactUs.stateId) }} 
{% endblock state_block %}

{% block statename_block %}
	{{ form_widget(contactUs.stateName, {'attr': {'class':'input', 'data-toggle':'tooltip', 'data-placement':'bottom', 'data-original-title':'contact_us.state.tooltip'|trans, 'placeholder':'* ' ~ 'contact_us.state.tooltip'|trans}}) }}
	{{ form_errors(contactUs.stateName) }}
{% endblock statename_block %}

{% block city_block %}
   {#} <label class="checkout-label" for="companyName">{{ 'cms.front.contact.company_label'|trans }}</label>{#}
{{ form_widget(contactUs.cityId,{'attr': {'class':'chosen-select  js-city', 'data-placement':'bottom', 'data-toggle':'tooltip' }}) }}
{{ form_errors(contactUs.cityId) }}
{% endblock city_block %}

{% block cityname_block %}
	{{ form_widget(contactUs.cityName, {'attr': {'class':'input', 'data-toggle':'tooltip', 'data-placement':'bottom', 'data-original-title':'contact_us.city.tooltip'|trans, 'placeholder':'' ~ 'contact_us.city.tooltip'|trans}}) }}
	{{ form_errors(contactUs.cityName) }}
{% endblock cityname_block %}

{% block street1_block %}
	{{ form_widget(contactUs.street1, {'attr': {'class':'input', 'data-toggle':'tooltip', 'data-placement':'bottom', 'data-original-title':'contact_us.street1.tooltip'|trans, 'placeholder':'contact_us.street1.label'|trans}}) }}
	{{ form_errors(contactUs.street1) }}
{% endblock street1_block %}

{% block street2_block %}
	{{ form_widget(contactUs.street2, {'attr': {'class':'input', 'data-toggle':'tooltip', 'data-placement':'bottom', 'data-original-title':'contact_us.street2.tooltip'|trans, 'placeholder':'contact_us.street2.label'|trans}}) }}
	{{ form_errors(contactUs.street2) }}
{% endblock street2_block %}

{% block zipcode_block %}
	{{ form_widget(contactUs.zipcode, {'attr': {'class':'input', 'data-toggle':'tooltip', 'data-placement':'bottom', 'data-original-title':'contact_us.zipcode.tooltip'|trans, 'placeholder':'contact_us.zipcode.label'|trans}}) }}
	{{ form_errors(contactUs.zipcode) }}
{% endblock zipcode_block %}

{% block distributor_purchase_block %}
   {#} <label class="checkout-label" for="companyName">{{ 'cms.front.contact.company_label'|trans }}</label>{#}
   
{{ form_widget(contactUs.distributorPurchasInfo,{'attr': {'class':'radio','placeholder':''}}) }}
{{ form_errors(contactUs.distributorPurchasInfo) }}
{% endblock distributor_purchase_block %}

{% block location_block %}
    <label class="checkout-label" for="city">{{ 'cms.front.contact.location_label'|trans }}</label>
    {{ form_widget(contactUs.city,{'attr':{'class':'input','data-toggle':'tooltip','data-placement':'bottom','title':'', 'data-original-title':'cms.front.contact.location_label'|trans}} ) }}
    {{ form_errors(contactUs.city) }}
{% endblock location_block %}

{% block subject_block %}   

    {{ form_widget(contactUs.subject,{'attr':{ 'class':'input','data-original-title': 'contact_us.subject.tooltip'|trans, 'data-placement':'bottom', 'data-toggle':'tooltip' ,'placeholder':'contact_us.subject.label'|trans}}) }}
    {{ form_errors(contactUs.subject) }}
{% endblock subject_block %}

{% block message_block %}   
{#}<label class="checkout-label" for="message">{{ 'cms.front.contact.message_label'|trans }}<i class="mandatory-field">*</i></label>{#}
    {{ form_widget(contactUs.message,{'attr':{ 'class':'input','data-original-title': 'cms.front.contact.message_label'|trans, 'data-placement':'bottom', 'data-toggle':'tooltip' ,'placeholder':'contact_us.message.label'|trans}}) }}
    {{ form_errors(contactUs.message) }}
{% endblock message_block %}

{% block footer_js %}
    {{ parent() }}
{#     {% javascripts '@OfficeBrainUserBundle/Resources/public/js/user.js' %}#}
{#     <script src="{{ asset_url }}" type='text/javascript'></script>
    {% endjavascripts %} #}
{% endblock footer_js %}