@extends('layouts.front-app') @section('title') User Form @endsection @section('content') {{-- --}} @csrf User Sign-Up* Profile Image* @error('image') {{ $message }} @enderror First Name * @error('first_name') {{ $message }} @enderror Last Name * @error('last_name') {{ $message }} @enderror Email * @error('email') {{ $message }} @enderror Phone Number * @error('phone_number') {{ $message }} @enderror Address * City * Select City @foreach ($states as $state) @foreach ($state->cities as $city) {{ $city->name }} @endforeach @endforeach State * Select State @foreach ($states as $state) {{ $state->name }} @endforeach Zipcode * @error('zip_code') {{ $message }} @enderror Password * @error('password') {{ $message }} @enderror Confirm Password* @error('password_confirmation') {{ $message }} @enderror Seller Information* Select the category you need inspection for * Car Phones Watches Laptop Vapes Upload Product Pictures * Upload Product Pictures Select Product Price Range * Select Price Range $1 - $100 $100 - $1000 $1000 - $5000 $5000 - $10,000 $10,000 - Up Any URL * Name* @error('shop_name') {{ $message }} @enderror Email * @error('shop_email') {{ $message }} @enderror Phone Number * @error('shop_phone') {{ $message }} @enderror Inspection Address * State * Select State @foreach ($states as $state) {{ $state->name }} @endforeach City * Select City Zipcode * @error('shop_zip') {{ $message }} @enderror Select Agent from Drop down * Select Agent Agent Information Agent Activated × Agent Name: Agent Specialized In Categories: Agent City: Agent Image: Reviews Inspection Fee * Submit Now @endsection @section('script') @endsection
Agent Name:
Agent Specialized In Categories:
Agent City:
Agent Image:
Reviews