{% extends '::baseAjax.html.twig' %} 
{% block ajax_body %}
	<form name='requestinfo' id='requestinfo' method='POST' class="js-replace-locale-action" action='{{path('office_brain_requestinfobundle_requestinfo_processrequestinfosubmit')}}' novalidate>
		<div class="product-section-box">
			<h2 class="heading-block" style="padding: 0px;"> {{ "request_info.special_instructions"|trans }}</h2>
			<div class="form-group special-instruction-textarea">
				{% block request_info_form_comment_field %}{% endblock request_info_form_comment_field %}
			</div>
{# 			<p>{{ "request_info.instruction"|trans }}</p>#}
		</div>
		{% if distributor_show is defined %}
			{% if distributor_show==1 %}
				{% if form.state is defined and form.distributor is defined %}
					<div class="product-section-box form-group">
						<h2 class="heading-block no-tag">{{ "request_info.preferred_distributor"|trans }}</h2>
						<div class="row shipping-method">
							<div class="col-lg-6 col-md-12 col-sm-6 col-xs-12 radiobox shipping-col">
								<div class="row">
			                    	<div class="col-lg-4 col-md-5 col-sm-5 col-xs-12">
										<p>{{ "request_info.state"|trans }} :</p>
									</div>
									<div class="col-lg-8 col-md-6 col-sm-6 col-xs-12 shipping-select">
										<div class="">
											{% block request_info_form_state_field %}{% endblock request_info_form_state_field %}
										</div>
									</div>
								</div>
							</div>
							<div class="col-lg-6 col-md-12 col-sm-6 col-xs-12 radiobox shipping-col">
								<div class="row">
									<div class="col-lg-4 col-md-5 col-sm-5 col-xs-12">
										<p>{{ "request_info.distributor"|trans }} :</p>
									</div>
									<div class="col-lg-8 col-md-6 col-sm-6 col-xs-12 shipping-select">
										<div class="">
											{% block request_info_form_distributor_field %}{% endblock request_info_form_distributor_field %}
										</div>
									</div>
								</div>
							</div>
						</div>
					</div>
				{% endif %}
			{% endif %}
			{% if distributor_show==0 %}
				{% block request_info_form_hidden_distributor_field %}{% endblock request_info_form_hidden_distributor_field %}
			{% endif %}
		{% endif %}
		<div class="product-section-box">
			<div class="text-right pull-right">
				{{ form_widget(form.product_id,{'value':product_id}) }} 
				{{ form_rest(form, {'display': 'hidden'}) }}
				<a class="small-but btn-default js-submit-btn" href="javascript:void(0)">{{ "request_info.send_request"|trans({},'goldstar') }}</a>
			</div>
		</div>
	</form>
{% endblock ajax_body %}